I'll digress for a minute to describe my method. My genital sac isn't very sensitive. It's about as sensitive as my elbow, I guess. It does have one spot, on the left side of the end, where the skin is a little bit spongier and it has some feeling, and I'd noticed that I could get some level of excitement by prodding and rubbing that piece of skin. Even that bit wasn't very sensitive, though. It's about as sensitive as my chin, I guess. So I got an old toothbrush (sterilized in boiling water, I'm not filthy, don't worry) and set about brushing on that spot pretty vigorously. I was pressing pretty hard, and the "masturbation," if you could call it that, wound up taking like an hour and a half, so you'd better believe that spot was raw to the point of bleeding when I finished.
So, as for the finishing: after all this strenuous rubbing and horrible pain and intense pleasure, suddenly I felt something like in my sex dreams, sort of that whooshing, welling-up, about-to-explode feeling. So I went at it even harder, my genital sac all raw and purple, and I pushed through it to my first orgasm. It felt awesome for a second, and then I was left with this really bad, sharp pain on the inside bottom of my genital sac, between where my testicles are. I went to lie down for a bit to get my breathing under control and see if it would go away, but it kept getting steadily worse over the next hour or so, so I decided to go to the hospital and get it checked out just in case I ruptured something. I'm not sure how I drove, but I think I was probably cross-legged the whole time.
When the ER doctor finally saw me, he was pretty baffled by my apparatus, but he felt around and did the "does this hurt" thing for a while before pinpointing a part that he felt was kind of swollen. He actually brought in a few other doctors to try to figure out what to do, and I guess one of them had seen fused genitals before.
They told me that what was likely causing it was that I had ejaculated internally but the matter had nowhere to go, so it just kind of welled up between my testicle and the wall of the genital sac, and if I left it there, it would probably cause a massive infection and I'd lose the whole thing. To be honest, losing the thing didn't bother me much, but I didn't want it getting infected. They gave me a local anesthetic and shaved my genital sac (which was crazy- I'd forgotten how awful and lumpy it looks without hair, kind of like a huge scrotum full of marbles and big veins), and then got a scalpel and cut open the swollen part, and this huge wad of blood and prostate fluid spilled out.
A few weeks later I had a surgery to route my plumbing down there out another tube, because they were worried that if it happened again, or if I ejaculated in my sleep , it might cause an infection without me knowing. I've "masturbated" a few times since then, once a little while after the surgery to make sure it worked and another time because a girl I knew was really curious about how my stuff worked, so I went at it with the toothbrush again. She had to leave like one minute into it because she got really nauseous, but I decided to finish because I was pretty excited. But overall, orgasms just aren't my thing.
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