Urethral Discomfort and Frequent Nocturnal Emissions

Impatient person?

Hello! Six months ago, after masturbating, I noticed that a ligament connecting the urethral opening to the foreskin on my penis was strained.
Although it hasn't torn, there is a noticeable indentation 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 issue am I experiencing? I would appreciate your answers to my questions.
Thank you!

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

Dr. Liu Jianting reply Urology

The strained ligament you mentioned is likely the penile suspensory ligament.
Many people have experienced such strains, but once healed, there are usually no lasting issues, and it probably isn't related to your current concerns.
As for "nocturnal emissions," are you referring to wet dreams or just secretions during an erection? Young individuals often have a high level of "sexual energy," which is typically not a significant issue.
If you're worried, it would be best to consult a urologist.

Reply Date: 2007/05/13

More Info

Urethral discomfort and frequent nocturnal emissions can be concerning symptoms that may arise from various underlying conditions. Based on your description, it seems that you experienced a strain or injury to the frenulum, which is the band of tissue connecting the underside of the penis to the glans (the head). This area is sensitive, and any trauma can lead to inflammation, discomfort, and changes in sensation.

The symptoms you are experiencing, such as discomfort at the glans and the sensation of needing to ejaculate, could be linked to the injury you sustained. The mild redness and warmth you noted may indicate localized inflammation, which can occur when tissue is irritated or injured. This inflammation can lead to heightened sensitivity and discomfort, which might explain the sensations you are feeling.

Frequent nocturnal emissions, or "wet dreams," are a normal physiological response, especially in younger males. They can occur due to various factors, including hormonal changes, sexual arousal during sleep, or even as a response to physical discomfort in the genital area. While you mentioned that you do not believe this is psychologically influenced, it is essential to consider that physical discomfort can sometimes lead to increased arousal or stimulation, resulting in more frequent emissions.

It is crucial to address any underlying issues that may be contributing to your symptoms. Here are some considerations:
1. Injury Recovery: If the frenulum was strained, it may take time to heal. Avoiding activities that could exacerbate the injury, such as vigorous sexual activity or masturbation, may help reduce discomfort and allow for healing.

2. Inflammation Management: Over-the-counter anti-inflammatory medications, such as ibuprofen, may help alleviate discomfort and reduce inflammation. However, it is essential to consult with a healthcare provider before starting any medication.

3. Hygiene and Care: Maintaining good hygiene in the genital area can help prevent infections that could exacerbate discomfort. Gentle cleaning with mild soap and water is recommended.

4. Consultation with a Specialist: If symptoms persist or worsen, it is advisable to consult a urologist or healthcare provider specializing in male reproductive health. They can perform a thorough examination, assess for any underlying conditions, and provide appropriate treatment options.

5. Psychological Factors: While you may not believe psychological factors are at play, it can be beneficial to explore this aspect with a mental health professional if discomfort persists. Anxiety or stress can sometimes manifest in physical symptoms, and addressing these factors may help alleviate your concerns.

In summary, the discomfort you are experiencing may be related to the injury to the frenulum, leading to inflammation and heightened sensitivity. Frequent nocturnal emissions can be a normal response but may also be influenced by physical discomfort. It is essential to monitor your symptoms and seek medical advice if they do not improve or if you have any concerns about your health. A healthcare professional can provide a comprehensive evaluation and tailored recommendations to address your specific situation.

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