A 22-year-old male presents with penile pain and difficulty urinating following sexual intercourse. He has a history of congenital penile curvature but has never sought treatment. What are the potential diagnoses and what are the next steps?
This patient's symptoms could be indicative of Peyronie's disease, which involves the development of fibrous scar tissue inside the penis causing curved, painful erections. Another potential cause is a urinary tract infection. A physical examination, urinalysis, and potentially an ultrasound of the penis may be required to determine the underlying issue. Urology consultation would likely be necessary.