Common Penile Concerns: A Urology Perspective - Urology

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Penile issues


1.
Is the spermatic cord slightly spiral in shape?
2.
Does masturbating once a day cause issues with the spermatic cord?
3.
What is that in the picture? It is very noticeable when erect, but not as much when flaccid, and it is only on one side.
Is this normal?

12345, 20~29 year old female. Ask Date: 2021/09/20

Dr. Du Shixi reply Urology


Hello: This response is for reference only and cannot replace a physician's examination, assessment, or testing.
1.
Straight.
2.
The spermatic cord already exists.
3.
There is a higher likelihood of vascular-related issues, which should be evaluated by a urologist at the hospital.
Wishing you good health.

Reply Date: 2021/09/20

More Info


Understanding common penile concerns from a urology perspective involves addressing various anatomical, physiological, and psychological aspects of male sexual health. Let’s break down your questions one by one.

1. Is the spermatic cord straight or slightly spiral?
The spermatic cord is not completely straight; it has a slight spiral or coiled appearance. This structure contains blood vessels, nerves, and the vas deferens, which transports sperm from the testicles. The coiling helps accommodate the movement and positioning of the testicles, especially during activities such as walking or running. This anatomical feature is normal and serves a functional purpose in maintaining the health and temperature regulation of the testes.

2. Does masturbating once a day cause issues with the spermatic cord?
Masturbation is a normal sexual activity and, when done in moderation, does not cause harm to the spermatic cord or overall reproductive health. In fact, regular ejaculation through masturbation can have several health benefits, including reducing the risk of prostate cancer and relieving sexual tension. Concerns about masturbation leading to physical issues, such as problems with the spermatic cord, are largely unfounded. However, excessive or aggressive masturbation could potentially lead to temporary discomfort or irritation, but this is not specifically related to the spermatic cord itself.

3. What is the noticeable bulge during an erection, and is it normal?
The bulge you are referring to during an erection is likely the result of increased blood flow to the penis, which causes it to enlarge and become rigid. The asymmetry you observe, where one side appears more pronounced than the other, can be normal. The penis is not perfectly symmetrical, and variations in size and shape are common among men. However, if the bulge is accompanied by pain, discomfort, or significant changes in appearance, it may warrant a consultation with a urologist to rule out any underlying conditions such as a varicocele (enlargement of veins within the scrotum) or other vascular issues.

In summary, the spermatic cord has a natural coiled structure, masturbation is a normal activity that does not harm the spermatic cord, and variations in penile appearance during erection are typically normal. If there are any concerns about pain, discomfort, or significant changes in the anatomy, it is always best to consult a healthcare professional for a thorough evaluation. Regular check-ups with a urologist can help maintain sexual health and address any concerns that may arise.

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