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Can urethral play cause premature ejacultaion?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

About six years ago, I engaged in some urethral play with my partner. I put a small pen into the urethra, only about 2 to 3 inches in. Since then, I feel I may have done damage to the smooth muscles in the corpus spongiosum or the tunica albuginea. I can feel, right inbetween the corpus spongiosum and corpus cavernosa what feels like an enlarged muscle and seem to run the entire length of the urethra, maybe compression damage done to something there. As a result, I have slight difficulty urinating and very very bad premature ejaculation which did not ever happen. I also have nocturnal emissions frequently on a full bladder. I know I may need to have an MRI, but if the muscles are damaged here, what are the surgical options? Can anything be done? I also tried Priligy and it made no difference (10 to 20 seconds).

Answered by Dr. Vivekanandan Govindasamy

Education:

MCh Urology

Professional Bio:

Dr. Vivekanandan G is a Urologist with over 15 years of experience and an MCh in Urology. His extensive expertise allows him to provide comprehensive care for various urological conditions, ensuring patients receive the highest quality of treatment and support in their health journey.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

First of all, let me assure you, premature ejaculation is due to excessive sensitivity of the sympathetic nervous system and not due to any trauma. If the urethra is damaged because of foreign body insertion, then the only problem will be urethral stricture, which will cause difficulty in urination. Also, nocturnal emissions are natural, although frequency might vary. If you still have doubts, you can proceed with ultrasound Doppler study of penis and cystoscopy. That would reveal whether you have suffered any injury in the past.

Medically reviewed by Dr. Divya Banu M
Published At September 11, 2019
Reviewed At July 14, 2023

Education:

MCh Urology

Professional Bio:

Dr. Vivekanandan G is a Urologist with over 15 years of experience and an MCh in Urology. His extensive expertise allows him to provide comprehensive care for various urological conditions, ensuring patients receive the highest quality of treatment and support in their health journey.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Divya Banu M is a dedicated Dental Surgeon with valuable clinical experience. She specializes in the diagnosis, prevention, and treatment of various diseases and conditions affecting the oral cavity. With a gentle and patient-centered approach, she is committed to promoting oral health and enhancing smiles through quality dental care. Her areas of expertise include restorative dentistry, preventive dental care, and cosmetic dental procedures.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MCh Urology

Professional Bio:

Dr. Vivekanandan G is a Urologist with over 15 years of experience and an MCh in Urology. His extensive expertise allows him to provide comprehensive care for various urological conditions, ensuring patients receive the highest quality of treatment and support in their health journey.

This doctor is not available for online consultations on the platform anymore.

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