Question: Hi there, my name is XXXXXXX I'm 26 from Canada.

I was living in Peru up until recently and I had visited an MD at a clinic who prescribed me trichloroacetic acid because I had a wart (HPV) inside of my penis just inside the meatus. What happened was, the first application of the acid was applied by the doctor. After the first application, the doctor told me that I could do the remaining applications from home. (Not the best advice now looking back)

I had my partner apply it with one of the large Q-tips provided by the doctor. She held the qtip on the skin for too long, I got burned really badly and since then I have been struggling with fairly severe premature ejaculation. This happened in November of last year (2014).

After I was burned, the skin struggled to heal. It would constantly turn white when I got it wet and skin would peel off. I used a high quality tamanu oil for well over a month to help heal the skin and kept it covered most times but it seemed that inevitably skin would peel off and I was in a lot of pain most days due to friction from walking.

The area that was affected was the lower half of my meatus and surrounding area of the glans. It is difficult to tell now, but if one looks closely you can see that part of my "lips" were completely burned off and they do not show signs of regenerating. An added bonus I received from that is not having a fully closed meatus and so when I urinate, I always leak afterwards and also pre-ejaculate comes out if I'm aroused. These were not issues prior to the burn.

The burn has left a scar that feels like a tiny hard spot at the burn site and the tip of my penis often feels irritated. The pain could be described as a "burning" sensation. Go figure. The irritation becomes more apparent if pressure is applied.

The elasticity of my meatus; the opening seems to be significantly reduced. It almost feels like the skin grew back deformed. I cannot pull back the skin to expose the inside of the meatus as easily as before and am thinking that perhaps part of the frenulum was burned and now it is causing a tightness and irritation that is possibly the cause of the premature ejaculation?

I have not had problems with premature ejaculation in the past.

What do you recommend I do in order to help correct this issue that I am having?

It seems like such a fluke thing to happen. I can't really find any information or find anyone else who has had this same thing happen to them so it is difficult to know exactly what is going on.

Any advice I would greatly appreciate. Its a nightmare not being able to last for more than 30 seconds and I feel really emasculated not being able to make love to my girlfriend like I did before.

Thank you,

Thank you for your answer, Dr. XXXXXXX It is much appreciated. Yes, I do have some follow up questions and concerns.

Regarding the photo, this photo was taken today (June 21,2015) and so it has been approximately 9 months give or take since the incident of the burn. My question with regards to that is, is it actually possible that it is still healing after almost 9 months? It has already been so long. How long could it possibly take until it is fully healed? I did recently read that a tight frenulum can cause premature ejaculation. Since the burn my penis has done some strange things. It started curving a bit to the left and also while erect the glans would curve downward... This I read to be a symptom of an overly tight frenulum, which I am thinking I possibly burned off or damaged.

My thinking is that because the skin was burned, it is more sensitive. The glans of my penis constantly feels a bit irritated and I get a "tickle" feeling very often; right inside of the meatus that magnifies with an erection and causes me (or so it seems) to ejaculate rapidly. The sensitivity of the glans of my penis seems to be extremely increased since the burn. I know it is normal for the glans to be more sensitive than the rest of the penis, but it feels much much more sensitive than it did before this incident of the burn.

As far as performance anxiety, I am not confident that this is the case with me. To me it feels like a physical issue more than a mental one. There are moments where I can simply squeeze my penis and I will ejaculate. This happens when I am alone and would NEVER happen before.

I would like to know what gives you the impression that it is due to performance anxiety? Indeed yes it bothers me that I cannot last in bed with my partner, but this happens while I am alone as well and feel like I have taken many steps (diet, vitamins, meditation, vitamin E, herbal remedies, PC muscle exercises) to correct this issue but have had little success.

I am not someone who generally takes pharmaceuticals, especially things like viagra. I regret using that acid.

Is there any other (natural) recommendation that you can provide me with?

Could there be a possibility of urethritis that is causing the premature ejaculation, perhaps?

And the final and big question is, do you think I will be stuck with this problem forever? Are there circumstances where premature ejaculation simply cannot be corrected? That is my biggest concern.

Thank you for your time, patience and good service.