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Urology  (Expert Forum)
 | 
Errection, pain, and ejaculation problems
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.

Errection, pain, and ejaculation problems

by pbags, Jan 04, 2007 12:00AM
Ok im 22 nearly 23 and for the last 2 and 1/2 years I have been ejaculating extremely quickly 95% of the time, at first thats all it was then after a year or so my penis started to hurt right through the shaft. Ive had std checks and all that and its all fine. I have been to see a couple of urologists quite a few times, and have had two cystocopys. Everything was fine no stones etc. They've prescribed me with lots of different antibiotics etc, which have sort of worked but in the end did nothing. So at the moment its very sensitive and sore when urinating, i havnt had a proper hard erection in about 2 and 1/2 years as the nerves in my penis must stop the blood from flowing because of the pain? When i ejaculate it hurts even more than normal and its extremely hard to get an errection after that, almost impossible as it hurts alot. Ive tried using viagra but even that doesnt work properly, i have had way better errections on my own when i was younger.

by Kevin Pho, MD, Jan 05, 2007 12:00AM
Assuming that STDs and urethritis have been ruled out, you can look at the prostate.  A digital rectal exam, prostatic massage or transrectal ultrasound can be considered to look for prostatitis.

If negative, you can consider a cystoscopy to evaluate for possible anatomical abnormalities - such as a urethral stricture or polyp.

These options can be discussed with your urologist.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
kevinmd_
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