Urology Questions? Ask a Urologist for Answers ASAP
It is unlikely that masturbating has caused difficulty with sensation or trouble with erections.
When patients present with this issue, we like to do several things. We like to get blood work (rule out diabetes), second we perform a physical exam, and lastly we get imaging studies. Imaging studies include an MRI of the spine to rule out any herniated disc or bulging disc cause a nerve problem.
We also perform a nerve conduction study via skin electrodes placed on the penis (no pain)-this can check for any sensation issues.
At the same time, an ultrasound evaluation of the blood flow to the penis can be checked. This can help evaluate for any trouble with erections. They can then recommend therapy based on your nerve and ultrasound studies.
Best of luck,
Do you think Surgey is needed and what are the chases of repair. I have been fine up until now.
The cause of why you have trouble with sensation is still unknown-typically there are few reasons to operate for such a cause, so I do not think you need surgery but you need further evaluation with testing.
It is unusual to have this situation in the absence of neurologic disease, diabetes, or a herniated disc- so I would see your physician soon for further evaluation.
Erectile dysfunction is something that generally happens progressively over time- not instantaneously over a few days or even weeks- If something has happened in such a short time, we think of something neurologic (spinal cord -herniated disc requiring some form of therapy and possibly surgery or psychosomatic- meaning something of no organic cause.
If it is psychosomatic, then a sex therapist would be the most helpful. In this case it is unlikely you would have permanent impotency.
There are no procedures we can perform as urologists to fix a neurologic issue
Best of luck,
Now your situation makes more sense- so you are able to get erections; Stress can definitely play a role in this case. There are some physical/emotional signs of stress (fatigue, loss of concentration, etc) but these are not always manifest. Moreover, you are admitting to stressful problems so clearly this has some impact on your life.
So long as there is no organic cause (blood flow problem from aging, etc) then it should resolve and it would not be permanent
Since you are having erections you dont need to have tests done to evaluate for sensation or blood flow;
It makes more sense to treat your stress and see how things improve- the best person to talk about stress with would be your primary care physician to see if they can offer you counseling, stress reduction programs and suggestions to lower your stress level