Common Urology Concerns: Tips for Managing Penile Issues

Glans issues

1.
It seems that my glans has developed blisters from friction with my underwear...
It hurts when I urinate, and the foreskin at the front is a bit red and swollen.
What should I do?
2.
Is a fully erect penis size of only 10 centimeters considered too short?
3.
There is a line on the underside of my penis that was straight when I was younger, but now it is not.

4.
Even when I ejaculate every three days, the semen volume is only about five milliliters.
Is that too little? I have attached my email address and hope to receive a response to help me resolve these issues.
I can provide photos at [email protected].

Wang Baga, 10~19 year old female. Ask Date: 2016/06/29

Dr. Li Xinyi reply Urology

A fully erect penis measuring only 10 centimeters may be considered short.
The volume of semen, even if ejaculated every three days, being only five milliliters might be on the lower side, but it can still fall within the normal range.
However, if you are dissatisfied, I suggest reducing the frequency of sexual activity; engaging in it three times a day may indicate a loss of balance in your life.
Overall, it's important to relax and not focus excessively on that aspect.
Don't treat it as an outlet for seeking stimulation.
You are still young, and your puberty has not yet ended; both your physical and mental health are in good condition.
Maturity will come in due time.

It seems that the glans may have been chafed by your underwear, resulting in blisters, and urination is painful.
Additionally, there is some redness and swelling of the foreskin.
It is advisable to consult a urologist for examination and treatment.
Regarding the line beneath your penis, which was straight in childhood but is not now, this is generally not a concern.

Reply Date: 2016/06/29

More Info

When it comes to managing common urology concerns, it's essential to address both physical and psychological aspects of the issues you're experiencing. Let's break down your questions and provide some insights and recommendations.

1. Blister on the Glans and Pain During Urination: It sounds like you may be experiencing friction-related irritation or a possible infection. The redness and swelling of the foreskin, along with the blister, suggest that you should avoid any further irritation. Here are some steps you can take:
- Avoid Tight Clothing: Wear loose-fitting underwear and pants to reduce friction.

- Maintain Hygiene: Gently clean the area with mild soap and water, and ensure it is thoroughly dried afterward.

- Topical Treatments: Over-the-counter hydrocortisone cream may help reduce inflammation, but consult a healthcare provider before applying anything to the area.

- Seek Medical Attention: If the pain persists or worsens, or if you notice any discharge or worsening redness, it’s crucial to see a urologist. They may prescribe antibiotics if an infection is present.

2. Concerns About Penile Size: A fully erect penis size of 10 cm (approximately 4 inches) is below the average range, but it’s important to remember that size does not determine sexual satisfaction or ability. If this is a significant concern for you, consider discussing it with a healthcare professional who can provide reassurance and explore any underlying issues, including hormonal levels or psychological factors.

3. Curvature of the Penis: A noticeable change in the curvature of the penis can be due to various factors, including Peyronie's disease, which involves the development of fibrous scar tissue inside the penis. If the curvature is causing pain or difficulties during sexual activity, it’s advisable to consult a urologist. They can assess the degree of curvature and discuss potential treatment options, which may include medications, injections, or surgery in more severe cases.

4. Low Semen Volume: A semen volume of 5 ml is on the lower end of the spectrum, especially if you are only ejaculating every three days. Normal ejaculate volume typically ranges from 2 to 5 ml, but factors such as hydration, frequency of ejaculation, and overall health can influence this. If you are concerned about fertility or sexual health, a semen analysis can provide more information. Additionally, lifestyle factors such as diet, exercise, and stress management can impact semen production.

General Recommendations:
- Hydration: Ensure you are drinking enough water daily, as hydration can affect both urine and semen production.

- Diet and Exercise: A balanced diet rich in fruits, vegetables, whole grains, and lean proteins, combined with regular exercise, can improve overall health and potentially enhance sexual function.

- Mental Health: Psychological factors can significantly impact sexual health and function. If anxiety or stress is affecting your sexual performance or causing discomfort, consider speaking with a mental health professional.

In conclusion, while some of your concerns may be common, they can also indicate underlying issues that warrant professional evaluation. It’s essential to consult a healthcare provider for personalized advice and treatment options tailored to your specific situation. Remember, open communication with your doctor is key to addressing these concerns effectively.

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