Patient :Ok I have been going to a urologist for a while now. I'm in my 30's and this NEVER had ever happened before 27ish when I bought a fleshlight, that I stopped using due to lower ab pain, testical pain, also seemed to "pull me out", and the hole for urine/ejaculation started just being open like someone who dropped their jaw. I've had an ultra sound of my testies and I have some vericose veins but nothing else checked as abnormal. During masterbation as orgasm comes my testicals both slide to the side and above my penis. I have a few questions I would like to ask as my next apt is forever away. I have incontinence issues for both urinary and fecal for at least 1 week after masterbating sometimes up to a month. Constant "dripple" "seepage" and sometimes intense urges to go. A few things I have noticed is my penis seen to be larger both erect and flacid (Im all for that) but it also never seems to contract all the way like it once did any more. And there seems to be irritation to the both the penis skin and anal sphincter everytime I please myself. The I guess duct for ejaculation can become insanely large bulging from the testies to the shaft a 1/4 inch off my body. And my right testicles seems to have become permanently 5x the sizes it once was. I'm not joking you can ask any girl who was with me previous to my desperation of loneliness from 22-27. Everyone made a remark on the small size of my testies, my left is still small. Sometimes very rarely noticed I have semen come at the end of the urination. Sometimes orgasms are painful in penis, abs, testies, and whatever is between testies and anus. Sometimes urination is painful in penis, abs, and testies. At 1 time the perenium felt so large that it seemed like that was what I was sitting on. My testies no longer hold tight to my body but hang as low or lower than the tip of my penis. Is it possible that I have damaged the deep fascia? It could explain the increase in size, the rips in the skin both front and back, along with swollen perenium, don't know but seems reasonable that testies may pulled together here? I know if I could only communicate to correctly to my dr he could help but I fail everytime. I can't even feel clean after a shower. Can't work a job that isn't from home, can't hang out with friends, I even spent my sisters entire wedding in hiding. When I ask everyone says I don't smell, but when I drop my pants the smell I thought was there is oh so present, or when I wipe there are clearly colors and foul odors. I dont even "pass gas". In hindsight I would have been better off catching std's (short of aids... maybe? I'm sorta already dead anyway) than getting a fleshlight. I goto a pelvic therapist and they had to "up" me someone who works with pressure points because I was too tense.... cuz having something up my butt is comforting or somethhing? It took 18 months of "down trainging" before I got my first exercises. I simply cannot wait another 18 months to be sort of in control, and another 18 to be mainly in control, and another 18 to be in control. Till that point, there is zero chance I will leave my home, and I'm not getting any younger, more attractive, or stable money wise. I need this rooted out, most days when I wake up I would prefer to go back to nightmares than live my life. If it can be called that. Does anyone have insight or perhaps suggestions of how to word things in a way that can help my dr help me? I would greatly like to see my friends again, well the ones who haven't completely left behind thinking I don't like them. Even know what it's like to embraced by a women again. There must be something I'm missing, something I haven't noticed, or words I haven't used. Oh I've also noticed a "spray" not a stream alot during urination.
Symptoms: Incontinence, pain in abs, testicals, penis, frequently, sometimes during urination, numb penis, trouble having strong erection, general depression, and a non existent person to those I want to be around, and family.
Thanks for the query to ATD for an opinion.
It is evident from the history that you have been experiencing urinary incontinence and also experiencing night falls at night post night mares. There is a concern about your small testicles and also there is painful orgasm during masturbation with evidence of varicosities or dilated veins over your scrotum evident during erection.
Firstly, urinary male incontinence can be very embarrassing at your age, it is generally seen in cases of recurrent urinary tract infection or detrusor instability. this can be confirmed with the help of URODYNAMIC studies which can easily differentiate between stress incontinence, over active bladder ( neurogenic) or genuine incontinence due to urethral sphincter instability. If sphincter is the cause then sphincteroplasty is the sole treatment post which you can be relieved completely else first UTI has to be treated and then you may have to be placed on bladder relaxants to allow decrease in symptoms, followed with behavioural exercises and Kegel's exercises to tone the pelvic muscles.
Secondly the concern regarding night falls is usually seen in men with low BMI and poor eating habits. it is important to take nutritious balance diet regularly and vitamin B complex caps twice a day for a month and then once a day for next 2 months, plenty of water during to day to maintain circulation and avoid stress in life both psychological, emotional and physical. Adoption of yoga and meditation can help in this regard.
Thirdly presence of dilated veins or varicocele evident on scrotum may have to be operated to surgically remove them as they may land up being a cause of male infertility later.
You may now discuss your options with your physician and take an informed decision.
I hope I have answered your query in detail,
Wishing you good health,
These Q&A’s are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.