Penile Trauma - now loose at base

I'm a 31 year old healthy male who has never had problems with erections.  2 months ago I woke up on my stomach with a full erection, except it was facing downward toward my feet pressed between my leg and the bed, and it was twisted 180 degrees.  It was not exceptionally painful, just uncomfortable so I moved and thought nothing of it.  I felt noticeable but not severe pain at the base for the next 3 days.  Since that day, it is very flexible at the base when I have an erection, almost as if it is dangling there when shaken from left to right.  Before this, my erection would move back to center mast immediately if ever moved left or right.  It still stands up straight at times, but only if I

[Kevin Pho, MD]

To answer your questions:
1) Damage to the suspensory ligament is possible with all forms of penile trauma.  

2) The damaged ligament itself should not cause blood flow problems, but damage from the trauma can.  A doppler ultrasound can be considered to evaluate penile blood flow.

3) It would depend on the extent of the damage.  Again, imaging studies can be considered to look for vascular or structural damage.

4) Again, depends on the severity of damage.  Surgical therapy can be considered if conservative therapy is not helping.  This needs to be evaluated by a urologist for a more concrete answer.

5) The pressure can impede vascular flow, leading to changes in erectile quality.  The ultrasound can further evaluate the vascular system.  

6) Surgical therapy with implantation with balloons and coils are one way to treat venous leakage.  Other surgical options can be considered, based on the severity of leakage.

7) Another urological opinion can be obtained, preferably at a major academic medical center.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
kevinmd_

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