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Any chance I had penis fracture or did any permanent damage?

I’m a 45 year old male. Very good health. Never had any major illnesses. In good shape, workout a few times a week.  I do suffer from a little depression and anxiety all of my life.  About 4 years ago I started experiencing erectile dysfunction.  It seems to have become worse over these last 4 years. I’ve been to two urologists and also my family doctor.  The urologists did a quick visual inspection of penis felt around and said it all looked good, and then just prescribed Cialis.  I was frustrated with the doctors that they just prescribed the Cialis and could never tell me exactly what was causing the ED. That is why I got a few more opinions.  Perhaps they just figured it was my age?  Anyway I gave up on trying to figure out why and cure it and just started taking the Cialis.   I’ve been taking Cialis now for about 2 years, as needed (meaning whenever I have sex).

I started dating this girl recently. After about three months of dating we had this big date one Saturday evening a few weeks ago.  We  had been a little intimate (no intercourse yet) for a few dates leading up to that, so I thought this may be the night we have intercourse.  So took 10mg of Cialis earlier in the day on an empty stomach to make sure it took effect completely.  Sure enough that evening, we were at my place and became intimate.  We were in my bedroom having intercourse.  Everything was working fine for me.  Then she said she wanted give me oral sex.  So she did that while I was on my knees on the bed.  It was kind of dark.  While she was giving my oral sex, I quickly noticed that it began to be painful.  Whatever she was doing was hurting my penis. I don’t know exactly what she was doing to cause the pain, but after about a minute I had to take my penis out, quickly.

Once I took my penis out the pain stopped completely, I did not lose my erection, and all was fine.  I just finished myself off by masturbating.  After, I went into the bathroom to urinate and noticed a small roundish spot or blemish (probably a bruise of some sort?) on the tip of my penis.   There was no blood, cuts, or anything like that.  It must have been caused by what she was doing incorrectly to me orally.  I don’t know what she was doing orally to me, biting, sucking on the tip to have caused that? It was at that moment of seeing the small bruise on the tip that I started getting very anxious about a possible penis fracture. I have worried about this type of thing in the past and try to be very careful (meaning I don’t like the girl on top position because that has the most risk).  But I tried to think logically and do my own examination.

In other words, I didn’t think it could be possible to fracture my penis under those circumstances since she was just giving me oral sex (albeit painfully). I have read that penis fracture is usually caused by some sort of blunt trauma like ramming your penis into her pubic bone during intercourse of having a hard object rammed into your penis. I  assumed it takes quite an impact.  I don’t see how mostly gentle oral sex could cause penile fracture.  Even though she was doing something unusual that was causing pain (like I mentioned, biting perhaps or sucking hard on the tip in some way), she was not moving her head side way or doing anything violently to cause a penile fracture.   So I was trying not to panic after noticing the small fresh bruise on the tip of my penis. I tried to talk to myself logically.  I examined myself then and repeatedly for the next day or two for real symptoms of a penile fracture.  Other than the small bruise at the tip, which faded and went away after about 5 or 6 days, there was no pain in the penis, no swelling, no disfiguration, no bruising anywhere else, no pain when urinating, nothing. Basically, other than the small bruise at the tip, the entire penis looked and felt completely normal.  Also, either that night or the next night,  I think I woke up with a few pretty nice and normal noctural erections (I get them like that when on Cialis).  So at that point I didn’t worry about it anymore.  

Fast forward a week and a half later.   This girl and I go out for a big dinner. I am not on Cialis at the time (However, I have a 10mg tablet in my bag, just in case).  After dinner, I was just expecting to go home, but she invites me up to her apartment.  I’m now getting a little anxious because I start thinking she is going to want to get intimate and I have not taken the Cialis earlier in the day to be ready.  So while we are in the apartment, I duck into the bathroom and take the 10mg of Cialis.  I just got done eating a huge meal 10 minutes ago so I was anxious that the Cialis would not have time to digest for hours. Sure enough, only 20 minutes after I walk out of the bathroom, she is kissing me and we start to become intimate. I’m very attracted to her.  However, this time, my penis does not respond at all.  I cannot get an erection.  It was very embarrassing and frustrating. She was very nice about it and didn’t make me feel bad.   I could not get an erection to have any kind of intercourse with her. We laid in bed and just talked.  She did make a few more attempts to get me erect enough for intercourse. All of these failed.   As I was driving home, I began wondering, could I have fractured my penis from her oral sex the time before? Is this why I could not get a normal erection? Is my penis now damaged?  Is this a possibility from my description and story?  Thank you! I’m very worried.
Best Answer
563773 tn?1374246539
MEDICAL PROFESSIONAL
Hello,
Performing oral sex does not result in fracture penis. The second time you could not have an erection was due to psychological stress about the penis and the failure in erection you could have because you had taken the Cialis 10 minutes prior.

Talk to your partner openly about any fears or apprehensions,eat nutritious healthy food,exercise regularly and cut down on smoking or alcohol if you are taking it.
If still a problem then get yourself evaluated from urologist.

It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.

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Avatar universal
Thank you Dr. Kaur. That was very helpful. I appreciate you taking the time to help me.
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