I'm having trouble pulling back the foreskin on my penis, and it's causing a really uncomfortable tightness at the tip during full erections and when trying to insert. On top of that, I'm dealing with premature ejaculation. Should I be seeing a urologist for this, or is a general surgeon the better option? Also, is there a connection between this issue with my foreskin, phimosis I think it's called, and premature ejaculation?

You should consult a urologist, as they specialize in genital and urinary tract issues, including phimosis (difficulty retracting the foreskin) and premature ejaculation (PE); while phimosis and PE can coexist, they are not directly related, but treating phimosis through circumcision, preputioplasty, or frenuloplasty may help alleviate discomfort and tightness, which could indirectly improve PE symptoms, and a urologist can assess and address both concerns.