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Surgical trauma, such as for hypospadias repair, can cause nerve injury.
As you have noticed that the urethral opening is toward the downward side of the penis, it is possible that he had a hypospadias repair.
Some amount of nerve damage or injury may have been sustained during the surgery which may have manifested as a late complication that did not receive medical attention because none was sought.
You can discuss this aspect with a urologist and a sex therapist to discuss treatment modalities deal with the retarded ejaculation.
Do keep us posted on your doubts and progress.
Regards
Surgical trauma, such as for hypospadias repair, can cause nerve injury.
As you have noticed that the urethral opening is toward the downward side of the penis, it is possible that he had a hypospadias repair.
Some amount of nerve damage or injury may have been sustained during the surgery which may have manifested as a late complication that did not receive medical attention because none was sought.
You can discuss this aspect with a urologist and a sex therapist to discuss treatment modalities deal with the retarded ejaculation.
Do keep us posted on your doubts and progress.
Regards