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Urology/Lump in Mid-Penis with issues

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Question
I am 44 during the past year I have had issues with quick ejaculation.  Within 1-2 minutes of inner course I just can not hold back.  I have tried Cialis to "fix"this issue and while it does seem to help some for the 2nd or 3rd time it really does not help for the first.  About 4 months ago I had a kidney stone that I was told was about 6mm that I do not know that it ever passed, although I did get some small snow flake like stuff at one time while filtering.  Most recently I have noticed an uncomfortable area mid penis during sex and have felt what seems like a hard place mid penis that almost feels like there is something inserted almost in the dead center middle.
I am concerned that these things together are telling me something.  The lump is uncomfortable when squeezed slightly and is very concerning.
I hope you can make some sense of this.

Answer
Not really.  I can't tell if the "lump" is a Peyronie's plaque or possibly related to a kidney stone.  Quick or premature ejaculation is not usually treatable with Cialis which is designed for erection rigidity problems.  You should consult a urologist for these problems and to see what happened to the stone.  Ask about a 24 hour urine test for kidney stone prevention if you're at all interested.

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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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