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Urology (Expert Forum)
Weak Erections | Penile Trauma | Suspensory Ligament?
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
Weak Erections | Penile Trauma | Suspensory Ligament?
by JoeIRL, Jul 13, 2007 12:00AM
My ex-girlfriend & I never had sex but what we did do was press/rub my penis against her vagina/pelvic bone for stimulation.
I broke up with her a few weeks before my problem started.
I hadn't masturbated in days so I had a very strong erection. I was masturbating & when I ejaculated I pressed the penis downwards to get the semen into the toilet bowl. Before I lost the erection I did same all over again. Since then I've had the following symptoms:
- very weak erections
- only get an erection when I touch it
- loose at base
- penis curved to the left, didn't before the trauma
I use cialis to have sex with new girlfriend but erections are still not very strong.
Urologist sent me for tests:
- Doppler Ultrasound, ruled out peyronies & venous leak
- Blood test, no diabetes
I found an article that detailed a similar case to my own: http://www.medhelp.org/forums/urology/messages/31847.html
Damage to the Penile Suspensory Ligament is caused by forced downward pressure & the symptoms are the same as my own. Dr Ralph in London can repair this.
I flew to London for a consultation & he was willing to correct this.
When Dr Ralph examined me in the operating theatre he realised that the PSL was not damaged. He straightened my penis using the Nesbit plication technique & told me not to masturbate for 6 wks.
I broke up with her a few weeks before my problem started.
I hadn't masturbated in days so I had a very strong erection. I was masturbating & when I ejaculated I pressed the penis downwards to get the semen into the toilet bowl. Before I lost the erection I did same all over again. Since then I've had the following symptoms:
- very weak erections
- only get an erection when I touch it
- loose at base
- penis curved to the left, didn't before the trauma
I use cialis to have sex with new girlfriend but erections are still not very strong.
Urologist sent me for tests:
- Doppler Ultrasound, ruled out peyronies & venous leak
- Blood test, no diabetes
I found an article that detailed a similar case to my own: http://www.medhelp.org/forums/urology/messages/31847.html
Damage to the Penile Suspensory Ligament is caused by forced downward pressure & the symptoms are the same as my own. Dr Ralph in London can repair this.
I flew to London for a consultation & he was willing to correct this.
When Dr Ralph examined me in the operating theatre he realised that the PSL was not damaged. He straightened my penis using the Nesbit plication technique & told me not to masturbate for 6 wks.
Doctor's Answer
by Kevin Pho, MD, Jul 14, 2007 12:00AM
, Jul 14, 2007 12:00AM
It is difficult to give suggestions over the internet without examination.
It is possible that an anatomic abnormality can be leading to the symptoms. The urologist who performed your surgery would have a better idea.
Repeating imaging with an ultrasound, or an MRI can give more information as to the cause, with Peyronies being possible.
Metabolic causes like thyroid disease can lead to some of the symptoms, and should be tested for.
As for psychological causes, you can attribute the cause to this if the tests remain negative.
I would obtain another opinion, 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_
It is possible that an anatomic abnormality can be leading to the symptoms. The urologist who performed your surgery would have a better idea.
Repeating imaging with an ultrasound, or an MRI can give more information as to the cause, with Peyronies being possible.
Metabolic causes like thyroid disease can lead to some of the symptoms, and should be tested for.
As for psychological causes, you can attribute the cause to this if the tests remain negative.
I would obtain another opinion, 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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