Urethral Discomfort and Frequent Nocturnal Emissions - Urology

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A disease that troubles me greatly?


Hello! Six months ago, after an episode of masturbation, I noticed that a ligament connecting the urethral opening to the foreskin on my penis was strained.
Although it hasn't torn, I discovered a depression in the middle of the ligament, and there is slight redness and mild warmth on the left side of the urethral opening.
Since then, I have been experiencing discomfort at the tip of my penis, similar to the sensation of needing to ejaculate.
Additionally, I am troubled by frequent nocturnal emissions, occurring about two to three times a week.
I do not believe this is due to psychological factors.
What is that ligament, and what issues am I experiencing? I would appreciate your insights.
Thank you!

A-Wen, 20~29 year old female. Ask Date: 2007/05/13

Dr. Xu Weikai reply Urology


Hello, general penile injuries, especially those involving the penile frenulum, can cause pain and sometimes lead to erections.
It is recommended to use local heat therapy to accelerate tissue healing.
If there are any issues, online resources cannot provide an accurate diagnosis, so it is best to seek medical attention as soon as possible.
This is a response from Dr.
Hsu Wei-Kai, Director of Urology at Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2007/05/13

More Info


It sounds like you are experiencing a combination of physical discomfort and changes in your sexual function, which can understandably be concerning. Based on your description, it seems that you may have sustained some form of injury to the frenulum, which is the band of tissue that connects the underside of the penis to the foreskin. This area can become sensitive or irritated due to various factors, including friction during masturbation or sexual activity.

The symptoms you describe—discomfort at the tip of the penis, a feeling similar to the urge to ejaculate, and frequent nocturnal emissions—can be linked to a few different factors. First, the irritation or injury to the frenulum can lead to heightened sensitivity in the area, which might explain the discomfort you are feeling. This sensitivity can sometimes lead to an increased frequency of erections or the sensation of needing to ejaculate, even when you do not have a sexual stimulus.

Frequent nocturnal emissions, or "wet dreams," are a normal part of male sexual health, particularly in younger men. However, if you are experiencing them more frequently than before, it could be a response to the discomfort or irritation you are feeling. The body may be reacting to the heightened sensitivity by releasing semen more often, even during sleep.

It's also important to consider the psychological aspect of your experience. While you mentioned that you do not believe this is a psychological issue, anxiety or stress related to your symptoms can exacerbate physical sensations. The mind and body are closely connected, and sometimes physical discomfort can lead to increased anxiety, which in turn can lead to more physical symptoms.

Given your symptoms, it would be advisable to consult a healthcare professional, preferably a urologist, who can perform a thorough examination. They can assess the condition of your frenulum and any other potential issues that may be contributing to your discomfort and nocturnal emissions. They may also provide guidance on how to care for the area to promote healing and reduce sensitivity.

In the meantime, here are a few suggestions that may help alleviate your discomfort:
1. Avoid Irritation: Try to minimize activities that may irritate the area, such as vigorous masturbation or sexual activity, until you have a chance to see a doctor.

2. Hygiene: Maintain good hygiene to prevent any potential infections, which could exacerbate redness or swelling.

3. Warm Compresses: Applying a warm compress to the area may help soothe discomfort and promote blood flow, which can aid in healing.

4. Over-the-Counter Pain Relief: If you are experiencing significant discomfort, over-the-counter pain relief medications may help, but consult with a healthcare provider before taking any medication.

5. Monitor Symptoms: Keep track of any changes in your symptoms, including the frequency of nocturnal emissions and any changes in discomfort, as this information will be helpful for your healthcare provider.

In conclusion, while your symptoms may be concerning, they are not uncommon, and many men experience similar issues at some point. Seeking professional medical advice is the best course of action to ensure that you receive appropriate care and guidance tailored to your specific situation.

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