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You're having issue­s with slow urination and erectile dysfunction. The­ shadow in your pelvis might mean a blockage that slows your urine­ flow. An operation could fix the blockage proble­m. Your ED may relate to your mentione­d habit. Addressing these things is vital for ge­tting your energy and intimacy right again. You'll nee­d surgery for the blockage. For ED, changing life­style and getting help can offe­r solutions.

When a person has hypersensitivity in the glans, this means that the skin over the glans is too sensitive and causes discomfort and even pain. This can occur due to the reason for various contagions, irritants, or some ailments. Symptoms can include pain, redness, or itching. If you use a gentle way to clean the area, and avoid harsh soaps, and use a soothing cream when necessary.

It's normal for semen volume to decrease due to factors like stress, diet, and aging. However, if you experience unusual sensations or painful urination, consider seeing a doctor. Focus on relaxation, eating nutritious meals, staying hydrated, and allowing your body time to recover. The issue may resolve naturally.

Such symptoms must be examined by a urologist to exclude other potential causes such as infections or skin diseases. 

It can sometimes be challenging to differentiate between a UTI and an STI based solely on symptoms. Both UTIs and STIs can cause similar symptoms such as pain or discomfort during urination, frequent urination, and an urgent need to urinate.