	AllExperts > Urology
	Search

About Stephen W. Leslie, MD
Expertise
Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.

Experience
Full time practicing urologist with 20 years experience. Assistant Clinical Professor of Urology at the Medical College of Ohio. Editor in Chief of eMedicine Urology internet textbook. Author of only book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.

Organizations
American Urological Association, Ohio State Medical Association, Sexual Medicine Society

Publications
Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.

Education/Credentials
Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison

Awards and Honors
Thirlby Award of the American Urological Association.

You are here: Experts > Health/Fitness > Urology > Urology > Ejaculation problems?

Urology - Ejaculation problems?

Expert: Stephen W. Leslie, MD - 11/6/2009

Question
Hey doc..a few things, and this might be complex..

When I first begin to urinate, my urine splits into two streams for about 2-5 seconds and than goes straight. The two streams sometimes go very much sideways and sometimes not. If I shake my penis right before I urinate, this does not happen. Could you tell me what may be wrong?

Also, I just had sex with my girlfriend for the first time. During foreplay, she was giving me a handjob and than gave me oral sex. Throughout all of this, and with any girls, it was hard for me to come to climax...it almost felt like there was NO sensation from anything she did, and it took very long for me to ejaculate. When I "tensed" my body (ab muscles I think?) my penis felt harder (she said so also) and I felt the sensation much more, but this "tensing" does not feel good and it almost hurts to ejaculate in this tensed state.
-When I masturbate, I can cum in less than five minutes very easily, so I am thinking it might be psychologically/anxiety based. I masturbate to porn and read something about how porn gives you much higher stimulation and nothing can compare to it?

When I was having sex with her, I was able to last seemingly forever; but I did not enjoy the sex that much. I again, did not really feel it on my penis.

Thanks for the help and sorry for the long questions

Answer
ALex:

The splitting of the stream depends on the exact terminal anatomy of the passage as well as the relative force. Once the volume is sufficient, the streams come together. WHen you shake the penis, you affect the distance between the two sides enough to change the stream characteristics. Just a fraction is enough.

Your ejaculation problem seems to be situational which suggests a psychological or anxiety issue. Consider talking to a certified sex therapist if there is one in your area.

Add to this Answer Ask a Question