Penile Hardness and Ejaculation Issues: What You Need to Know - Urology

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Understanding penile hardness and ejaculation issues can be quite concerning, especially when there are noticeable changes in function and sensation. Based on your description, it seems that you are experiencing a few distinct symptoms: persistent hardness of the penis even when not erect, increased hardness during erection, and changes in ejaculation. Let's break down these symptoms and explore potential causes and solutions.


1. Persistent Hardness and Changes in Erection
The fact that your penis remains hard even when not erect is unusual and could indicate a few possibilities. One potential cause could be Peyronie's disease, which involves the development of fibrous scar tissue inside the penis, leading to curvature and changes in hardness. Another possibility is vascular issues, where blood flow is affected, potentially leading to a sensation of hardness due to restricted blood flow or other circulatory problems.


2. Changes in Ejaculation
The change in your ejaculation pattern, where it flows rather than shoots out, could be related to several factors. One common issue is retrograde ejaculation, where semen enters the bladder instead of exiting through the urethra. This can occur due to nerve damage, certain medications, or surgeries that affect the pelvic area. Additionally, if there is a blockage or narrowing in the urethra, it could lead to a weaker ejaculation.


3. Surgical History
You mentioned having undergone a circumcision with a specific technique that involved folding the skin. It’s possible that the surgical technique may have inadvertently affected the sensitivity or function of the penis. If the sutures or scar tissue are causing constriction, this could lead to the symptoms you are experiencing.

4. Psychological Factors
Anxiety and stress can also play a significant role in sexual function. If you are feeling anxious about these changes, it may exacerbate the situation. Psychological factors can lead to performance anxiety, which can further affect erection and ejaculation.


Recommendations
1. Consult a Urologist: It is crucial to see a specialist who can perform a thorough examination. They may conduct tests such as an ultrasound to assess blood flow and check for any structural abnormalities.

2. Discuss Surgical Outcomes: Bring up your surgical history in detail. If there are concerns about the way the procedure was performed, a urologist can evaluate whether any corrective measures are necessary.

3. Consider Psychological Support: If anxiety is a contributing factor, speaking with a mental health professional who specializes in sexual health may be beneficial. They can provide strategies to manage anxiety and improve sexual function.

4. Lifestyle Modifications: Maintaining a healthy lifestyle can improve overall vascular health. This includes regular exercise, a balanced diet, and avoiding smoking and excessive alcohol consumption.

5. Medication Review: If you are taking any medications, discuss them with your doctor. Some medications can affect sexual function and ejaculation.

6. Follow-Up: Regular follow-ups with your healthcare provider can help monitor your condition and make necessary adjustments to your treatment plan.


Conclusion
Changes in penile hardness and ejaculation can be distressing, but understanding the potential causes is the first step toward finding a solution. It’s essential to seek professional medical advice to address these symptoms comprehensively. Remember, you are not alone in this, and many men experience similar issues. With the right support and treatment, you can regain confidence and improve your sexual health.