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Dr. David
Dr. David, MD
Category: Urology
Satisfied Customers: 51429
Experience:  Experienced physican in Urology
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I randomly happened to notice a tiny, hard bump on the

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Hi. I randomly happened to notice a tiny, hard bump on the top-side of my penis, right at the very base (where it meets my stomach, essentially). It does not hurt, nor is it visible, or protruding). On a side note, I have suffered from chronic pain in my abdomen/pelvic region for over 5 years now, and a full workup at Northwestern Hospital in Chicago could not find any answers. I doubt there is any correlation here, but I would like to know what that bump might be...and I guess you never know if the two are related.
JA: Is the condition chronic, or acute?
Customer: It is 24/7. I am taking tramadol and gabapentin to basically just mask it. The doctors likened it to nerves in this region being "cranked up" and sensing pain, even though there is no reason for them to be doing so. But no actual diagnosis.
JA: Anything else in your medical history you think the doctor should know?
Customer: No. I have been essentially quite healthy my entire life (36 years old) otherwise. In terms of other issues (aside from a lot of pain) that I noticed once this all began 6 years--and that might be of interest from a urologist's standpoint--is premature ejaculation, which had never been an issue until the exact same time this came about.

Hello, this is Dr. David. I am reviewing your question now and will be with you momentarily.

you could be feeling a subaceous cyst under the skin

or an ingrown hair follicle

or a blocked skin pore.

it doesn't sound related to your chronic abdominal pain issues.

Customer: replied 2 years ago.
I am guessing if my nerves are messed up in my abdominal/pelvic region, it seems logical to think that my premature ejaculation (which started at exactly the same time as the pain) is related to whatever went wrong in my body. Honestly, this is the most troubling issue for me. Does this correlation say anything to you that might help narrow down what might be wrong with me? If nobody is able to help me find a "cure/remedy" for whatever is wrong with me, are there any medications (aside from, say, topical creams) that might help my PE? Thanks much for any insight you can offer.

premature ejaculation is a very common issue. and happens in many patients who don't have nerve damage.

there are lidocaine numbing creams which can help prolong your sexual function without climax.

also there are techniques you can use to delay ejaculation

http://www.mayoclinic.org/diseases-conditions/premature-ejaculation/basics/treatment/con-20031160

you can read more about the pause, squeeze technique to delay ejaculation during masturbation which can help you last longer.

let me know if you have other questions.

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