Premature Ejaculation and Weak Bladder, I'm only 23

[help8407]

For about 8 months now i Have been suffering from extreme premature ejaculations so much to the point where i have ejaculated before i am fully erect. a few months after this began i also have been having the urge to urinate maybe every 1.5 hrs the urge gets so severe if i don't my testicles start to become painful until i do. I have been to a urologist who said he thinks i need to just relax my bladder and gave me some anti depression pills. took them for a month nothing changed...prior to that Urologist I'd gone to one a few months prior who said he believed it was prostatis prescribed a 60 day dosage of that because at that time i was having pains in my testicles , this was maybe 3 months before the premature ejaculation or bladder problem came...so here i am 23 going to the bathroom around 8 times a day ...not trying to pursue anything with a woman because it would be almost impossible to satisfy her let alone deal wit the embarrassment....i can honestly say im very depressed becoming antisocial and just really need help...I have another appointment wit the Urologist this Wednesday...any information regarding this situation would greatly be accepted...thank you

[Stephen Liroff, MD]

A neurological disease could be the cause of both symptoms.  Urinary frequency can be caused by a urinary tract infection, anxiety, a compressed spinal nerve, a neurological disease and can rarely be the symptom for a stone in the ureter. If you have not experienced any change in your night time urinary frequency since onset of your symptoms, an emotional cause would be high on my list. The fact that you were treated with an anti-depressant does not mean that you were thought to be depressed. Antidepressants retard ejaculation and are often prescribed for this side effect. Certainly, however, anxiety and depression can figure into sexual dysfunction. I would push for a full work-up at this point to consider all causes. I would get an emotional and possibly a neurological  evaluation if nothing is discovered otherwise.
Good luck!
S.A.Liroff, M.D.

"This information is provided for general medical educational purposes only. It
does not  necessarily reflect the opinions of Henry Ford  Hospital  or the
Vattikuti Urologic Institute.  Please consult your physician for diagnostic
and treatment options pertaining to your specific medical  condition.”

[help8407]

(i meant to say 60 day prescription of levaquin)

[help8407]

WHAT DO I DO NOW?   Went back to the urologist, tell him of the same symptoms I had since the last visit. Let him know its gettin worse, and he basically tells me to chose which is the worse symptom the weak bladder or the premature ejaculation. i tell him if i had to chose id say Prem ejaculation becuz it hinders any type of physical relationship with a woman. I cant stand goin to the bathroom every 40 -60 mins as well but I chose the prem ejac...He then prescribes another anti depressant for me. tells me to take it 2 hrs before sexual activity  and tells me otherwise there nothing else he can do for me...I honestly donot know wat to do...I feel constant pressure in my testicles the urge to pee all the time and the premature ejaculations...pain is also accompanied ...what can I do , where can I go...I know there are other Urologist in NJ but if theyre all just going to tell me the same thing whats the point ...I honestly cannot live like this for the rest of my life...I need help

[help8407]

WHAT DO I DO NOW?   Went back to the urologist, tell him of the same symptoms I had since the last visit. Let him know its gettin worse, and he basically tells me to chose which is the worse symptom the weak bladder or the premature ejaculation. i tell him if i had to chose id say Prem ejaculation becuz it hinders any type of physical relationship with a woman. I cant stand goin to the bathroom every 40 -60 mins as well but I chose the prem ejac...He then prescribes another anti depressant for me. tells me to take it 2 hrs before sexual activity  and tells me otherwise there nothing else he can do for me...I honestly donot know wat to do...I feel constant pressure in my testicles the urge to pee all the time and the premature ejaculations...pain is also accompanied ...what can I do , where can I go...I know there are other Urologist in NJ but if theyre all just going to tell me the same thing whats the point ...I honestly cannot live like this for the rest of my life...I need help

[Stephen Liroff, MD]

I am sorry that your problem persists in spite of your urologic care. At this point I think that you should get a second opinion; not all urologists may agree with your evaluation and treatment. I would contact a urology residency program and get an appointment to see one of their staff urologists as a private patient. A urologist with an interest in neurourology, chronic pelvic pain syndrome or interstitial cystitis would be ideal. Their is at least one such residency in New Jersey and several in New York City and Philadelphia.
Good luck in your quest!
S.A.Liroff, M.D.

This information is provided for general medical educational purposes only. It
does not  necessarily reflect the opinions of Henry Ford  Hospital  or the
Vattikuti Urologic Institute.  Please consult your physician for diagnosticDiagnostic laparoscopy
and treatment options pertaining to your specific medical  condition.”