What should I do if I have excessive foreskin and premature ejaculation during masturbation?

Patient's question:

Approximately 4 years. Currently experiencing premature ejaculation. I've noticed that when the penis is erect, the glans is fully exposed. If I gently pull the foreskin down, a stem (connected to the glans) pulls the glans downward, making it wider, and the sensation of ejaculation immediately appears. Similarly, under the glans, the area where the stem connects is relatively sensitive. What kind of help is desired: What should I do if I have excessive foreskin and premature ejaculation?

Doctor's answer:

According to your description, excessive foreskin can lead to inflammation such as balanitis, and it can also cause excessive sensitivity of the glans, resulting in premature ejaculation and other issues. It is recommended that you consider getting surgery early. The time for physiological needs is generally one month after normal sexual activity (if there is no infection), and the time for sexual intercourse is one month after the stitches are removed (sexual intercourse exerts greater friction on the foreskin compared to normal sexual activity). Moreover, long-term and frequent sexual intercourse can lead to chronic prostatitis. It is advised to avoid touching text and images, and to completely eliminate the triggers.

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