### Patient: Doctor, I've been having trouble getting erections lately. It seems like my penis has become smaller and I'm not sure why.
### Doctor: Based on your symptoms, I recommend a complete physical skin exam performed, as well as a urinalysis. Additionally, we may need to perform an excision or other procedures on the urethra. There may be other therapeutic procedures we can consider, such as indwelling catheter placement or other procedures on the male genital area.