19M - Hopeless and Confused
Hey all,
I’m 19M (I live in the US) and seeking guidance with an issue that has been a nuisance and left me hopeless.
It all started around late Jan/early Feb of 2025 and I had been messing around with a Magnum condom whilst masturbating. I had wore it as I was trying to ejaculate, even though it felt too tight. When I finished, I don’t even know what to describe the sensation I felt afterwards.
A burst? No idea, but when I took the condom off, everything felt really sore down there. I decided to give it a few days or a week/two before I would masturbate to ensure that everything was alright, but the soreness persisted and there was a “cylindrical” sensation in my penis.
I had trouble getting erect but after a month or so, the “pain” subsided. There were instances where if I did squats or hip lunges, I would get erections but they felt sore and were not as potent as my pre-2025 erections. At this point, I decided it was time to get it checked out.
I would describe myself as being “hard flaccid” at this time around. There had also been a loss of sensitivity.
In July of 2025, I went to a urologist and explained my issues to him. He examined my penis and had me do a urine test, and eventually determined that everything was right. From this, he diagnosed me with psychogenic erectile dysfunction and assured me that this was common and that everything would clear up in a few months. However, I was prescribed Tadalafil 5MG in the meantime.
As I used it, it felt weird to say the least. While I was getting erections, they felt different from my natural pre-2025 ones. It’s hard to describe, but my penis felt as if it was going through like a flu of some kind in the sense that it was cool but also hot like dry ice (if that makes sense?). To sum it up, it felt Frankenstein-ish, a dead thing coming to life but it worked.
Then somewhere between September and October of 2025, that is when I’ve been developing urinary issues. I’ve been dealing with problems like split streams that merge a few seconds later and curved streams that do not follow the tip which have left me urinating all over the bathroom seat if I don’t take manual control. When I finish urinating and take a seat, it is like my bladder empties out and causes me to urinate myself. For some reason, I wasn’t able to get everything out until then. Even the flaccid shape of my penis had been affected as it has either ballooned or swollen on one side or the other. Also, I had to pee constantly, and all the symptoms I’ve mentioned kept repeating myself.
When I used the Tadalafil during this period and was getting erections, it was also alleviating my urinary issues. There was no more dribbling or split streams, my penis felt “heavier” in a sense and reminded me of myself pre-2025. Besides, whenever I ejaculated, I wasn’t able to get an erection until I took the medication again. However, I knew this was only a temporary fix to what was becoming almost a year long issue and I decided to act.
I also used a Zinc supplement since I assumed my issue at the time was just wee blood flow but I don’t think it did much.
In January 2026, I decided to get checked again and went to a different urologist and explained my issues to him. I ran tests and everything came out fine like my early urologist visit, but he wanted to do a penile ultrasound just to make sure. In February 2026, I had that ultrasound and they injected my penis with Alprostadil. During the test, I was unable to produce a regular pre-2025 erection but it was getting “hard flaccid”. After that was over, I was given my results quickly and they determined my blood flow was normal and there were no leaks.
Yet, something strange happened and after a few days of the injection, I was getting normal pre-2025 erections again. I took zinc every few days but my sensitivity had returned and I felt like my old self again. It didn’t feel like the Frankstein-ish erections that Tadalafil gave me. My urinary function was normal and it felt like all the stress I had been going through had finally left me. This only lasted about a week or so when I ejaculated again. While I was still able to get similar erections, they were much weaker and after I ejaculated again days after, these erections are gone now.
As for how I’m doing now, I’m not sure. The symptoms I’ve described have calmed down, but I haven’t returned to my pre-2025 self (or Alprostadil-induced self). My urinary function has improved somewhat, but there are instances where my streams have split or curved. The dribbling isn’t as bad as it was before, but still an issue. When I sit down, it’s easier for me to get an erection and this much has been true ever since like July 2025 I would say.
I suppose for additional context, I was diagnosed with epididymitis back in May 2024 but it hadn’t affected my erections until a week or two after I first had symptoms.
The second urologist suggested that I should go to therapy as he believes it is a psychological issue, but I don’t know if the possibility of it being a “hardware” issue has completely been determined yet.
Could it have been a prostate/urinary issue all this time? Please let me know if you can. I’ll try to clarify any points in the comments.