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Inability to ejaculate with a swelling in the penis. What's wrong?

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Dr. Praveen Tayal

Orthopaedic Surgeon

Practicing since :1994

Answered : 11442 Questions

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Posted on Tue, 15 Jan 2013 in Penis Problems
Question: unable to ejaculateI am male, 30 years old, 5'9, about 185 lbs. my penis has a slight swelling on the right side that has gone down in the last day but is still there. I can get and maintain an erection, however I cannot ejaculate. there is no pain at all, I am just extremely frustrated. I have been dealing with depression and anxiety, but am not currently on any medication for it. what could possibly be wrong and what can I do to remedy this problem? thank you.
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Answered by Dr. Praveen Tayal 2 hours later
Hello,
Thanks for posting your query.
For inability to ejaculate with a swelling in the penis you need a detailed evaluation by a urologist. Some of the causes which can be responsible for these symptoms in your case are:

1) Infections of the prostate, bladder, or seminal vesicles and interstitial cystitis
2) Gonorrheal infections
3) Urethritis or prostatitis
You need a comprehensive profile of investigations including semen examination, culture, urine culture and examination, PSA levels, STD panel for gonorrhea, swab samples and a cystoscopy if needed to rule out any urethritis.
First you need to see a doctor,get a swab test to confirm the diagnosis.
You will have to take a course of antibiotics.
Refrain from sex until your infection is resolved.
You need to observe good hygiene.

I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Please accept my answer in case you do not have further queries.
Wishing you good health.
Regards.
Dr. Praveen Tayal.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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