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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Erectile Dysfunction And Premature Ejaculation

Hi Doctor, I have undergone urodynamics test a year back and and it was found i was having low bladder sensations. Subsequently , uroflow test was performed which showed a poor flow rate. I am having this problem for the past 3 years. Also, i am not getting early morning erections. When i masturbate i get an erection but ejaculate within a short time. I have undergone MRI of spine(3 times) and brain(1 time) which showed normal results. I also have undergone several blood tests which all showed normal results. i had Vitamin B12 and Vitamin D3 deficiency. I am 29 years old and am unable to take a decision on my marriage. Could you please provide your suggestion. Thanks XYZ
Mon, 3 Feb 2014
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Urologist,  's  Response
Hi,
If your MRI was done thrice and it was normal on all three occasions, you might have to get some other tests performed. There are neurologists who check for nerve conduction defects. Sometimes these are useful in such a clinical scenario. We should ideally not think of your two problems (poor erections and bladder muscle weakness) as separate entities and should check if one solution will help both problems.
There are other investigations which can also be performed. These include a penile Doppler to test vascularity of your phallus.
You can also be tried with medications like alpha-blockers to see if urine flow improves, and if required also add medication to improve bladder muscle tone which unfortunately is not very often successful.
Hope I have been able to help you.
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Suggest Treatment For Erectile Dysfunction And Premature Ejaculation

Hi, If your MRI was done thrice and it was normal on all three occasions, you might have to get some other tests performed. There are neurologists who check for nerve conduction defects. Sometimes these are useful in such a clinical scenario. We should ideally not think of your two problems (poor erections and bladder muscle weakness) as separate entities and should check if one solution will help both problems. There are other investigations which can also be performed. These include a penile Doppler to test vascularity of your phallus. You can also be tried with medications like alpha-blockers to see if urine flow improves, and if required also add medication to improve bladder muscle tone which unfortunately is not very often successful. Hope I have been able to help you.