Urology/ED

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Question
Just recently it's been difficult for me to get an erection. At first I thought it was mental. Then I noticed that my right testicle is positioned higher up (closer to my body), and sticking out a little as if something was trying to pull it in. Then I started feeling discomfort in my lower abdomen and I noticed that the base of my penis is tight (internally constricted). How do I fix this?

Answer
Josh:

It may not need any fixing, but you should probably have this checked.  I'm not sure what you mean by the base of the penis being "tight".  It's possible this could be early Peyronie's disease.  Discomfort in the lower abdomen can be several different disorders.  A testicle that is pulling up is relatively common.  This could represent a retractile testicle, for example.  If so, we don't usually treat this unless the feeling it causes is uncomfortable.

Check with your primary local physician for individual and specific advice.

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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 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved 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. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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