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MoRe: penile + groin pain

Written by Paul B. at 02 May 2002 00:33:20:

As an answer to: Re: penile + groin pain written by Kyle at 01 May 2002 23:52:29:

> What things would make you lose pressure in the urethra when cumming or trying to shoot out the last few drops of urine?

Both of these are totally dependent on the pressure of the erection in the penis. A degree of erection is to say the least, useful in ejecting the last of your urine, and if you do not have a full erection, you cannot "shoot" the semen, since this happens as a result of the muscle contractions around the base of the penis suddenly increasing the pressure inside the penile shaft such as to squeeze out the contents of the urethra (like toothpaste) - the urethra has no muscle of itself.

And speaking of toothpaste, semen is rather thick (it has a "gel" or "clotting" mechanism) so some tends to stick inside the penis, how much depending on how effectively it is pumped out by the above mechanism, and leak out as it un-clots.

So if anything, it seems to me that for whatever reason, you are noticing that your erections are not as firm as before. Of course, since erections are suppressed or limited by anxiety, the more you notice it, the more it is likely to happen.

> It feels like I cant get it all out. The annoying feeling sometimes feels like a tickle or pee dripping feeling but nothing is in there.

I think you have to give the urologist credit for deciding that there is no likely obstruction (and that on the basis for one, of my previous enquiry that you can pee a good stream). It does sound as if there is some problem with sensation - which tends to indicate some curious nerve problem, which is probably not major (dangerous).

> Could it be a nerve or something I can fix?

"Fixing" by medication or surgery is most unlikely to be an option as your problem would appear to be less than the potential problems of side effects of either.

> I feel fine all day untill my first pee of the day, thats when it all gets irratated. It seems to go away about 1-2 hours after I pee, but then comes back again every time I pee.

This is referred to as "urethral syndrome", (old name: "Non-specific Urethritis") indicative of Chlamydia Trachomatis or Ureaplasma Urealyticum infection (both sexually transmitted), so you probably should have/ have had a test for these two since you have ever been sexually active.

But it is also a consequence of other less significant causes, notably trauma from perhaps over-vigorous masturbation pressing on the urethra or perhaps what you mention below.

> I also get an odd mild pain when on a hard bycicle seat when riding, I feel it all the way from my ass through my urethra.

Damage to the nerves of the penis and inside leg (the genito-femoral nerve) is a very well-documented risk of bicycle riding. This may be the critical clue!

> Also what can I do about the flaking skin on the head of my penis. The skin looks and feels dry, and then flakes off. It seems to go away for a few days then it comes back.

Presumably you are circumcised. Use a common moisturiser (such as Sorbolene and Glycerine) from the pharmacist/ drugstore on a regular basis.


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