the Impact of Masturbation on Urological Health - Urology

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Masturbation


Hello, Dr.
Hsu: I have two questions to ask you: 1.
I have had a habit of masturbation since the second year of junior high school (averaging 1-2 times a day), and now I am in my 30s.
Does a long-term habit of masturbation lead to conditions such as erectile dysfunction or penile venous leakage? 2.
What are the causes and symptoms of penile venous leakage? Is surgery the only option available, and is its effectiveness poor? Thank you very much for your response, and I appreciate your help.

Xiao Liu, 30~39 year old female. Ask Date: 2003/10/28

Dr. Xu Weikai reply Urology


Regarding your question, my opinions are as follows:
1.
Masturbation, from the perspective of Traditional Chinese Medicine, is believed to affect sexual function.
In contrast, Western medicine holds the opposite view, suggesting that more frequent engagement can be beneficial.
For instance, athletes who train regularly tend to perform better during competitions.
You understand my point, right? Personally, I believe that as long as your physical condition is adequate, masturbation can serve as a means of emotional release or physical exertion.
When you are very fatigued, it is difficult to achieve an erection, let alone masturbate.
The saying "when one is well-fed and warm, one thinks of lust" reflects this idea.
Only when your physical condition is good and your life is worry-free can you feel inclined to engage in sexual activities.
One potential issue that may arise is premature ejaculation.
Frequent masturbation can lead to a mindset of quickly reaching climax and ejaculation.
After all, when you are alone, you do not need to consider another person's feelings (DIY), which may result in involuntary early ejaculation during actual intercourse or an inability to synchronize with your partner's movements and needs.
I believe this is something that needs to be addressed, although the situations mentioned above may not necessarily occur, so there is no need to worry too much.
2.
Penile venous leakage can be congenital or acquired, often due to aging or neurovascular diseases.
Surgery is not ineffective; however, it typically requires preoperative vascular imaging to determine how many veins need to be ligated.
During surgery, theoretically, all problematic veins should be ligated, but sometimes, it is inevitable that some may be missed, resulting in a less favorable outcome.
Furthermore, sometimes after a period post-surgery, new blood vessels may develop, leading to new leakage phenomena.
This is not related to the surgery itself but rather to individual physiology.

Reply Date: 2003/10/28

More Info


Masturbation is a common and natural behavior that many individuals engage in throughout their lives. It is often surrounded by various myths and misconceptions, particularly regarding its impact on urological health. Let's address your questions in detail.

1. Long-term Effects of Masturbation: Engaging in masturbation, even on a daily basis, is generally considered a normal part of human sexuality. Research indicates that masturbation does not cause physical harm or lead to conditions such as erectile dysfunction (ED) or penile venous leakage. In fact, studies have shown that regular ejaculation, whether through masturbation or sexual intercourse, may have protective effects against certain urological conditions, including prostate cancer.
Concerns about masturbation leading to erectile dysfunction often stem from psychological factors rather than physiological ones. For instance, if an individual develops a dependency on masturbation for sexual arousal, they may find it challenging to achieve arousal in other contexts, which could be misinterpreted as erectile dysfunction. However, this is more about behavioral patterns than direct physiological damage caused by masturbation itself.

It's also important to note that excessive masturbation, like any behavior, can lead to negative consequences if it interferes with daily life, relationships, or responsibilities. If you find that your masturbation habits are affecting your quality of life or mental health, it may be beneficial to speak with a healthcare professional.

2. Penile Venous Leakage: Penile venous leakage, often referred to as venous leak, occurs when the veins in the penis do not constrict properly during an erection, leading to difficulty in maintaining an erection. This condition can be caused by various factors, including vascular issues, nerve damage, or hormonal imbalances. Symptoms typically include the inability to maintain an erection sufficient for sexual intercourse, which can lead to psychological distress and relationship issues.

The treatment options for penile venous leakage can vary based on the underlying cause. While surgery is one option, it is not the only one, and its effectiveness can vary. Non-surgical treatments may include medications that enhance blood flow or devices that assist in achieving and maintaining an erection. In some cases, lifestyle changes, such as improving diet, increasing physical activity, and managing stress, can also have a positive impact on erectile function.

In conclusion, masturbation is a normal sexual activity that, when practiced in moderation, does not typically lead to adverse health effects, including erectile dysfunction or penile venous leakage. If you have concerns about your sexual health or experience symptoms related to erectile function, it is advisable to consult a healthcare provider. They can offer personalized advice and treatment options based on your specific situation. Remember, maintaining open communication with healthcare professionals about sexual health is crucial for overall well-being.

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