Common Urology Concerns: Answers to Your Questions About Urination and Sexual Health

I have a question?

1.
Sometimes when I really need to urinate, I find myself unable to do so when I stand in front of the toilet! I end up pretending that I finished, and then after a while, I go back to urinate, and only then can I go! It feels like I have to exert effort, and if I do manage to urinate, it’s just a few drops, making me feel like an elderly person using the restroom...
2.
I often masturbate, sometimes up to five times a week.
Will this lead to a smaller penis or premature ejaculation in the future?
3.
When I am not erect, my penis measures between 6.5 to 7.5 cm, but sometimes it shrinks to only 3.5 to 4.5 cm.
Is this normal?
4.
When I am not erect, my foreskin covers the glans completely.
Does this count as phimosis?
5.
When I am erect, my foreskin still covers about half of the glans.
Is there a need for circumcision?
6.
Is an erect size of 12.5 cm considered normal? Is there a way to make it longer?
7.
When I masturbate, I stop right before ejaculation, repeating this process.
I can spend up to an hour on one session.
Will this have any effects? (Sometimes after masturbating, I find it difficult to urinate.) Please help me with these questions, doctor.

Niming, 10~19 year old female. Ask Date: 2011/03/17

Dr. Zhou Xinpei reply Urology

Regarding your previous questions about penile size, phimosis, and urination issues, these should be thoroughly evaluated by a urologist to clarify the problems.
Therefore, it is recommended that you seek professional diagnosis and treatment.

Reply Date: 2011/03/17

More Info

When it comes to urological concerns, many individuals experience a range of issues that can be both physically and psychologically distressing. Let's address your questions one by one, providing clarity and guidance based on medical knowledge.

1. Difficulty Urinating in Certain Situations: It's not uncommon for individuals to experience difficulty urinating when they feel anxious or under pressure, such as when others are nearby. This phenomenon is often related to a psychological response known as "shy bladder syndrome" or paruresis. It can cause the bladder to contract less effectively, making it hard to initiate urination. Techniques such as relaxation exercises, breathing techniques, or even cognitive behavioral therapy can help manage this condition. If this issue persists, consulting a urologist may provide further insights and treatment options.

2. Frequent Masturbation and Its Effects: Masturbation is a normal sexual activity, and for most people, it does not lead to long-term physical changes such as a decrease in penis size or premature ejaculation. However, excessive masturbation can sometimes lead to temporary desensitization or changes in sexual response. If you find that your sexual performance or satisfaction is affected, it may be worth considering moderation and exploring other forms of sexual expression.

3. Variability in Penis Size: It's normal for the penis to vary in size due to factors such as temperature, arousal level, and overall health. The size you mentioned (6.5 to 7.5 cm when flaccid and 3.5 to 4.5 cm at times) falls within a typical range. If you have concerns about significant changes in size or function, discussing these with a healthcare provider can provide reassurance and guidance.

4. Phimosis Concerns: If the foreskin covers the glans (head) of the penis when not erect, this may indicate a condition known as phimosis. While many individuals have a naturally tight foreskin that can retract during erection, if it causes pain or difficulty during hygiene or sexual activity, it may be worth consulting a urologist for evaluation.

5. Need for Circumcision: If the foreskin covers a significant portion of the glans during an erection and causes discomfort or hygiene issues, circumcision may be recommended. However, this decision should be made in consultation with a healthcare provider who can assess your specific situation and discuss the benefits and risks.

6. Erect Penis Size: An erect penis size of 12.5 cm is considered within the average range. Concerns about increasing size are common, but most methods advertised for penis enlargement lack scientific support and can be harmful. Focus on overall sexual health and function rather than size.

7. Impact of Edging During Masturbation: Engaging in "edging," or delaying ejaculation during masturbation, is a common practice. While it can enhance sexual pleasure, it may lead to temporary difficulty in urination afterward due to muscle tension or irritation. If you notice persistent issues with urination after masturbation, consider adjusting your technique or frequency.

In summary, many of the concerns you've raised are common and can often be managed with lifestyle adjustments, relaxation techniques, and open communication with healthcare providers. If any of these issues significantly impact your quality of life or cause distress, seeking professional advice from a urologist or sexual health specialist is recommended. They can provide tailored guidance and support to address your specific needs and concerns.

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