Common Urology Concerns: A Guide for Teenagers

Masturbation issues?

1: Hello doctor, I am currently in the ninth grade and I masturbate almost every day, but it hurts when I do.
My foreskin is very tight, and only about one-third of my glans is exposed; the inner side of the foreskin is red and painful to touch.
Each time I masturbate, it feels very dry, and even with water as lubrication, it dries out quickly.
What should I do?
2: There is a structure underneath my urethra that connects to my foreskin.
Is there a problem with that?
3: I have 2 to 4 very small bumps on my glans that look similar to pimples.
Could that be a sexually transmitted infection?
4: There are small bumps on my foreskin that are clustered together and not spaced far apart.
Is that a concern?
[Thank you, doctor, for taking the time to answer my questions.
I appreciate your help.]

Xiao Ke Ai, 10~19 year old female. Ask Date: 2016/04/17

Dr. Fu Shizhang reply Urology

Based on the description, you may have issues such as phimosis, excessive foreskin, or inflammation.
It is recommended to visit a urology clinic for evaluation.
Online consultations cannot replace an in-person examination and physical assessment by a physician.
If you have a medical condition, it is still advisable to seek care at a healthcare facility.

Reply Date: 2016/04/17

More Info

Understanding common urology concerns among teenagers is crucial, as many young individuals may experience various urological issues that can cause discomfort or anxiety. Here, I will address the specific questions raised and provide additional context based on medical knowledge.

1. Pain During Masturbation and Tight Foreskin: It sounds like you are experiencing a condition known as phimosis, where the foreskin cannot be easily retracted over the glans (the head of the penis). This can lead to pain during masturbation and may cause inflammation, as indicated by the redness you mentioned. It's essential to avoid forcing the foreskin back, as this can lead to further injury or infection. To manage this, consider practicing gentle stretching exercises of the foreskin over time, but do so cautiously. If the pain persists or worsens, or if you notice any signs of infection (such as pus or increased redness), it is advisable to consult a healthcare professional. They may recommend topical treatments or, in some cases, a circumcision if the condition is severe.

2. Connection Between the Urethra and Foreskin: The structure you are describing sounds like the frenulum, which is a normal anatomical feature that connects the underside of the penis to the foreskin. This is not typically a cause for concern unless you experience pain or discomfort in that area. If you do, it may be related to the tightness of your foreskin or other underlying issues.

3. Small Bumps on the Glans: The small bumps you are noticing on your glans could be a variety of things. They might be Fordyce spots, which are harmless sebaceous glands that can appear on the penis. However, they could also be pearly penile papules, which are normal anatomical variations. If these bumps are new, changing, or accompanied by other symptoms (such as pain, itching, or discharge), it is crucial to see a healthcare provider to rule out sexually transmitted infections (STIs) or other conditions.

4. Bumps on the Foreskin: Similar to the previous point, the bumps you see on your foreskin could be normal anatomical features or signs of irritation. If they are not painful and do not change in appearance, they may not be a cause for concern. However, if they are associated with discomfort, itching, or unusual discharge, it is essential to seek medical advice.

In summary, many urological concerns in teenagers can stem from normal anatomical variations or conditions that can be managed with proper care. It is important to maintain good hygiene, avoid irritants, and consult a healthcare professional if you experience persistent pain, discomfort, or changes in your genital area. Open communication with a trusted adult or healthcare provider can help alleviate concerns and ensure that any necessary treatment is received promptly. Remember, you are not alone in experiencing these issues, and seeking help is a positive step toward maintaining your health.

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