AboutStephen 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.
Question What should be done on the occassion that a male is sufferring from what I can only describe as blue ball prior to any sexual activity, where in the event of sexual activity of various sorts an orgasm is not reached? It has reached a point of extreme discomfort and swelling?
Answer This type of question comes up every so often. The conventional wisdom is that an ejaculation will relieve the "pressure" but scientifically the failure to ejaculate has no direct effect on the testicle. Semen is not stored in the testicle (it's stored in the seminal vesicle which is a small pouch under the bladder just behind the prostate) and there is no backup into the testicle.
There is probably no harm in masturbation or finding a similar release but there is no medical basis for the testicle swelling or becoming uncomfortable under the circumstances you describe.
