Glans Issues: Do Extra Holes Cause Premature Ejaculation? - Urology

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Glans issues: premature ejaculation?


Hello, doctor.
I accidentally came across many cases of hypospadias online and realized that I also have two openings on my glans.
However, my other opening is located above the urethra, and it serves no function since both urination and ejaculation occur through the urethra.
I would like to ask if I need surgery for this opening.
If I do not undergo surgery, will it cause any future issues? Could having this second opening lead to premature ejaculation?

Luo Luo, 20~29 year old female. Ask Date: 2022/01/20

Dr. Du Shixi reply Urology


Hello: You may need to seek medical attention for a thorough examination, but surgery should not be necessary.
It is also unrelated to premature ejaculation.
Wishing you good health.

Reply Date: 2022/01/20

More Info


Understanding glans issues, particularly concerning the presence of extra holes or openings, can be a source of concern for many individuals. In your case, you mentioned having two openings on the glans, with one being located above the urethra and not serving any functional purpose. This condition is often referred to as a "fistula" or "abnormal opening," and it can raise questions about potential complications, including the risk of premature ejaculation.

Firstly, it's important to clarify that the presence of an extra hole on the glans does not inherently cause premature ejaculation. Premature ejaculation is a complex condition that can be influenced by various factors, including psychological aspects, anxiety, hormonal levels, and physical health. While anatomical variations can sometimes contribute to sexual dysfunction, the mere existence of an additional opening is unlikely to be a direct cause of premature ejaculation.

Regarding the need for surgical intervention, it largely depends on the symptoms you are experiencing and the potential risks associated with the extra opening. If the additional hole is asymptomatic—meaning it does not cause pain, discomfort, or any urinary issues—surgery may not be necessary. However, if you experience recurrent infections, discomfort, or any other complications, it would be advisable to consult a urologist. They can perform a thorough examination and determine whether surgical correction is warranted.

In terms of future implications, if the extra hole remains asymptomatic, it is unlikely to lead to significant health issues. However, it is essential to monitor for any changes, such as the development of pain, unusual discharge, or changes in urinary function. If any of these symptoms arise, seeking medical advice promptly is crucial.

Additionally, it is worth noting that sexual health is multifaceted. If you are experiencing concerns about premature ejaculation or any other sexual dysfunction, it may be beneficial to explore various treatment options. These can include behavioral techniques, counseling, or medications that can help manage the condition effectively.

In summary, while having an extra hole on the glans can be concerning, it is not typically associated with premature ejaculation. Surgical intervention may not be necessary unless complications arise. Regular monitoring and consultation with a healthcare professional can help ensure that any potential issues are addressed promptly. If you have ongoing concerns about your sexual health or the anatomical variations you are experiencing, do not hesitate to reach out to a urologist or a healthcare provider specializing in sexual health for personalized advice and treatment options.

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