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Spina bifida, bent penis and incomplete ejaculation - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Men's Health
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3582 Questions
I am a 29 year old male with spina bifida and I suffer from erection problems and ejaculation problems and would like to discuss this.
Doctor :   Hi
User :   Hi - as you can see my problem is quite personal
Doctor :  
I shall help you in this.
User :   Who am I speaking to?
Doctor :   User :   Are you male or female?
Doctor :   I am a male doctor.
Doctor :   May i know since when are you having these problems?
User :   I realise this may sound odd, but I feel embarassed discussing this with another man - is it possible to discuss with a female doctor?
User :   Hello?
Doctor :  
You can log out and login again.
Doctor :  
another female doctor will chat with you.
Doctor :   Hi
User :   Hi - who am I speaking with?
Doctor :   I am here
User :   you are a female doctor?
Doctor :   Yes.
User :   could we start my time limit from now please
Doctor :   I have your previous chat details proceed with it.
User :   I am a 29 year old male patient with spina bifida - I have erection and ejaculation problems, and would like to understand treatment options
Doctor :  
Since when are you experiencing the symptomms?
User :   Spina bifida is a birth defect - so always
Doctor :   Has any correction been done for spina bifida?
User :   spina bifida cannot be cured
User :   you should know that
Doctor :  
I meant your erection problems?
User :   no
Doctor :  
There are treatments available for spina bifidawhen done at the infant stage itself.
User :   i am now 29
Doctor :  
Wanted to know if any such things were done.
Doctor :  
I know it is not corrected later.
Doctor :  
Ok.
Doctor :   Are you there?
User :   yes
User :   I have outlined my problem - I was hoping you would take the lead from here
User :   its embarassing :(
Doctor :  
Ok.
Doctor :  
I shall explain you.
Doctor :  
Spina bifida cause both erectile dysfunction and ejaculation problems
Doctor :   Since the autonomic nervous system has been affected.
User :   yes - so what may i be able to do?
Doctor :  
So since it is a structural problem the mediccal line of treatment may not help in you.
Doctor :  
You need to have you may have to get an neurosurgical opinion
User :   I can obtain an erection partly but it is bent
Doctor :   Are you sexually active?
User :   I can also ejaculate a little, on some occasions, but only when my partner does it orally for me
Doctor :  
Are you able to sustain the erection?
User :   yes - usually, but as i mentioned it is bent ... significantly.. in a forward direction
Doctor :   Ok..
Doctor :  
A bent erection is ok, unless you are not able to
Doctor :  
\sustain an erection during the intercourse, you will b able to have a good sexual life.
User :   i cannot ejaculate during vaginal sex though - and at some point we would like children :(
User :   how can I know if I have normal sperm etc.. if I cannot ejaculate to provide a sample?
Doctor :   You are able to ejaculate when on oral sex right?
User :   sometimes in her mouth yes
User :   its just a dribble tho
Doctor :  
It mean the neurological system is intact.
User :   what will a face to face doctor suggest if i go along with this problem
Doctor :   You can get a sperm analysis done by means of masturbation
Doctor :  
Which will be as effective as an oral sex.
Doctor :   You can get this done.
User :   is there a means of medically inducing ejaculation to provide a sample?
Doctor :   There are no drugs available to induce ejaculation itself.
User :   if i masturbae it is just a small trickle but sometimes not at all
Doctor :  
How ever there are few for erectile dysfunction hich can also help in ejaculation.
User :   will the doctor want to examine me?
Doctor :   Yes, he will have you examined to see if there are any neurological problems
Doctor :  
hat is affecting the efjaculation.
User :   this is embarassing as my erection will come when it is touched...how will the examination go?
Doctor :   You need not worry about that.
Doctor :   It is a normal reflex mechanisn seen in every one.
User :   is it common that men get erect if u examine them?
Doctor :  
This also indicates the intactness of the neurological system.
User :   what should i say to her if this happens?
Doctor :  
Yes any common man will have erection when examination is done.
User :   will she just continue to examine me even if it happens?
Doctor :   The doctor will know that
Doctor :  
You need not explain to them.
User :   will the doctor be able to find out what causes the bend for me?
Doctor :  
As i said the bend is not a problem.
User :   it makes intercourse difficult for us
Doctor :  
the ejaculation part needs the evaluation.

Doctor :  
If the bend is too much then it can be corrected. surgically.\
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