Questions posted in the
The Urology Forum have been answered by urologists from Henry Ford Health System and by Dr. Kevin Pho.
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Subject: Re: impotence
Based on the above information, can you give a likely diagnosis? Is there a surgical intervention that is likely to help me? I am desperate as I have no satisfactory outlet for sexual feelings. My wife is sympathetic to problem but we have become emotional strangers. Davey
Dear Davey: Thanks for your question. Most patient histories regarding penile fracture occur during intercourse and the snap is heard with quick detumessence ( becomes flaccid) of the penis. The penis is usually bent and there may be bruising along the shaft. Few have awoken later and noticed the swelling, bruising and curvature. If these patients present to the ER, they undergo immediate surgical repair closing the communication between the artery ( the blood vessel bring blood to the penis) and the venules ( vessels taking blood away from the penis ). The fracture made a bypass of the erection mechanism which normally allows the penis to store blood at high pressures during erection. I suggest seeing a Urologist. He will probably inject medicine into the penis to see if the erection mechanism is still bypassed. If so, he may order some Xrays to plan for operative repair or refer you to a Urologist who specializes in traumatic penile injuries. If you get a normal erection with the injection, the cause of your impotence is probably not related to this episode. As for your sexual release and desire for sexual intimacy, orgasm is possible without erection. This information is provided for general medical education purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653 6568). Good luck. HFHS M.D.- MS *Keyword: Traumatic Penile Fracture
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