Penis Positioning and Scrotal Tightness: A Urology Perspective

Penis size

Hello, Doctor:
1.
Ever since I noticed an issue with my penis, I have been hesitant to pursue the girls I like.
My penis does not hang down when flaccid; instead, it points forward at a 90-degree angle, which often creates a noticeable bulge on the side of my pants (especially when wearing loose-fitting trousers).
Additionally, the pressure from my pants often causes my penis to retract inward.
I frequently go to the restroom to try to lengthen or reposition it downward, but when I walk, it returns to its original forward-leaning position.
This situation occurs daily, and it looks quite unappealing from the outside.
This issue tends to happen frequently in several situations: 1.
When climbing stairs 2.
When running 3.
After masturbation.
I feel that the position of my zipper is different from most men.
Whenever I encounter a girl I like, I become self-conscious about my penis issue, which makes me hesitant.
2.
My scrotum is often in a tight state, causing my penis to point forward instead of hanging down in a normal position, which also makes it retract.
I believe a normal scrotum should hang loosely downward, but mine is always tight.
This situation also frequently occurs in several scenarios: 1.
When climbing stairs 2.
When running 3.
After masturbation.
My scrotum does become loose at times: 1.
When sitting or lying down 2.
Occasionally after masturbation.
3.
When erect, my penis is of normal size, measuring 14 cm in length and 4.2 cm in width.
I am unsure if I need treatment or correction when it is in a flaccid state.
I apologize for the disturbance.

boy, 20~29 year old female. Ask Date: 2020/01/27

Dr. Li Xinyi reply Urology

The length and width during an erection are fine.
However, the concerns you have regarding the flaccid state may be causing you distress, making it difficult for you to relax while pursuing women.
Clinically, we have not encountered such issues, and it is likely that your concerns may be more psychological in nature.
If you still have doubts, it is advisable to consult a urologist for an in-person examination and discussion.

Reply Date: 2020/01/27

More Info

Understanding the positioning of the penis and the tightness of the scrotum can be a source of concern for many men, particularly when it affects self-esteem and social interactions. Based on your description, it appears that you are experiencing a few issues related to the positioning of your penis when flaccid, as well as tightness in your scrotum. Let's break down these concerns and explore potential explanations and solutions.

Penis Positioning
1. Flaccid Positioning: It is not uncommon for the penis to have a forward tilt when flaccid. The angle can vary significantly among individuals, and a 90-degree angle is on the higher end of the spectrum. This positioning can be influenced by several factors, including anatomical differences, the length of the suspensory ligament, and the elasticity of the penile tissue.
2. Impact of Clothing: You mentioned that wearing loose pants makes the bulge more noticeable. This is a common concern among men with a pronounced forward tilt. Tight-fitting underwear or pants can sometimes provide more support and help manage the appearance of the bulge. However, comfort is also essential, so finding a balance is key.

3. Physical Activity: The issues you experience while walking, running, or using stairs may be exacerbated by the type of clothing you wear. The friction and movement can cause discomfort and may lead to the penis retracting or shifting positions.

Scrotal Tightness
1. Normal Function: The scrotum's primary function is to regulate the temperature of the testes, which is crucial for sperm production. The scrotum contracts and relaxes based on temperature and arousal. It is normal for the scrotum to feel tighter during physical activity or arousal.

2. Tightness Concerns: If you consistently feel that your scrotum is unusually tight, it could be due to various factors, including anxiety, temperature, or even a condition known as "scrotal retraction," where the scrotum pulls up closer to the body. This can be more pronounced during physical activity or arousal.

3. Relaxation Techniques: When sitting or lying down, the scrotum naturally relaxes. If you find that your scrotum is tight during activities, consider wearing supportive underwear that allows for some movement while providing comfort.

Psychological Impact
Your concerns about how your penis positioning affects your interactions with women are valid. Many men experience anxiety related to their genital appearance, which can lead to avoidance of social situations or romantic pursuits. It’s essential to remember that self-confidence plays a significant role in attraction.

When to Seek Help
1. Consultation with a Urologist: If you feel that your penis positioning or scrotal tightness is causing significant distress or impacting your quality of life, it may be beneficial to consult a urologist. They can provide a thorough examination and discuss potential treatment options if necessary.

2. Therapeutic Options: In some cases, if there is an underlying anatomical issue, surgical options may be available. However, many men find that understanding their anatomy and learning to manage their concerns through clothing choices and relaxation techniques can be sufficient.

3. Counseling: If anxiety about your genital appearance is affecting your relationships, speaking with a mental health professional may help. They can provide strategies to improve self-esteem and body image.

Conclusion
In summary, the positioning of your penis and the tightness of your scrotum can be influenced by various factors, including anatomy, clothing, and physical activity. While these concerns are common, they can be managed through appropriate clothing choices and relaxation techniques. If these issues continue to cause you distress, seeking professional advice from a urologist or counselor can provide you with the support and information you need to feel more comfortable in your body and interactions with others. Remember, confidence and self-acceptance are key components of attraction and personal happiness.

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