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Urology/Pain and strange sensations during ejaculation


I've been experiencing disturbing symptoms for several months now every time I ejaculate. I feel mild/moderate pain (in what feels like the inside of my shaft) combined with an unpleasant tightness also in my shaft that only occurs at ejaculation. It also feels like a vein is protruding or becoming enlarged at the moment of ejaculation on the left side of the shaft which is very unpleasant and something that I've never felt before. I can still experience some brief pleasure just prior to ejaculation and none of these odd sensations occur in those few seconds. However I used to feel pleasure continue through ejaculation and that now ends as soon as I ejaculate when these odd sensations occur. I finally saw a urologist and he said he thinks I have "high tone pelvic floor tension" and prescribed Rapaflo. My question is do the symptoms I'm describing sound like high tone pelvic floor tension, and if so could Rapaflo help with that? And can these issues possibly go away on their own or will they stay with me possibly permanently? I would greatly appreciate any answers, I've searched all over the internet for months now and can't find ANYTHING that describes the symptoms I'm experiencing.


High pelvic floor tension is like a muscle cramp.  Rapaflo specifically relaxes muscles in the pelvis so it often helps.  This can appear very similar to prostatitis.  In these cases, hot sitz baths and sometimes physical therapy treatment can help.

In general, while the condition is treatable, it often recurs.  The symptoms may disappear on their own, but this will take much longer and there is no guarantee.


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Stephen W. Leslie, MD


Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.


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.

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

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.

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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