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Urology (Expert Forum)
PENILE SURGERY
Answered by
Stephen Liroff, MD - Urology, Pediatric Urology, Peyronie’s disease
Henry Ford Hospital
West Bloomfield - MI
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.
PENILE SURGERY
by RODDY55, Mar 06, 2008 02:10PM
DEAR DOCTOR,
2 YEARS AGO I HAD AN ACCIDENT THAT INJURED MY PENIS WHICH CREATED A LARGE HEMATOMA ON THE SIDE OF MY PENIS. AT THE TIME OF THE ACCIDENT I WAS GIVEN AN ULTRA SOUND ,X-RAYS ,AND A CT SCAN TO CHECK FOR DAMAGE AND THE POSSIBILITY OF A FRACTURED PENIS. ALL TEST APPEARED TO NEGATIVE. MY UROLIGIST INDICATED THAT IT SHOULD GO AWAY BY IT SELF. AFTER A MONTH IT STILL HAD NOT GONE AWAY. THE DOCTOR DECIDED TO DO SURGERY TO REMOVE THE LUMP AND TO MAKE SURE THERE WAS NO OTHER DAMAGE. BEFORE THE SURGERY I HAD NO REAL PROBLEM WITH ACHIEVING AN ERECTION,EVEN WITH LUMP THERE. HOWEVER, AFTER THE SURGERY I HAVE HAD A LOT OF PROBLEMS ACHIEVING AN ADEQUATE ERECTION EVEN USING ORAL MEDICATIONS. I WOULD LIKE TO KNOW IF SOMETHING MIGHT HAVE GONE WRONG AND IF THERE IS ANY THING THAT CAN BE DONE. THE DOCTOR WHO DID THE SURGERY SAID THAT THERE WAS NOTHING HE COULD HAVE DONE TO HAVE CREATED THE PROBLEM. I AM 55 A HAVE HIGH BLOOD PRESSURE. THANKS FOR YOUR TIME
2 YEARS AGO I HAD AN ACCIDENT THAT INJURED MY PENIS WHICH CREATED A LARGE HEMATOMA ON THE SIDE OF MY PENIS. AT THE TIME OF THE ACCIDENT I WAS GIVEN AN ULTRA SOUND ,X-RAYS ,AND A CT SCAN TO CHECK FOR DAMAGE AND THE POSSIBILITY OF A FRACTURED PENIS. ALL TEST APPEARED TO NEGATIVE. MY UROLIGIST INDICATED THAT IT SHOULD GO AWAY BY IT SELF. AFTER A MONTH IT STILL HAD NOT GONE AWAY. THE DOCTOR DECIDED TO DO SURGERY TO REMOVE THE LUMP AND TO MAKE SURE THERE WAS NO OTHER DAMAGE. BEFORE THE SURGERY I HAD NO REAL PROBLEM WITH ACHIEVING AN ERECTION,EVEN WITH LUMP THERE. HOWEVER, AFTER THE SURGERY I HAVE HAD A LOT OF PROBLEMS ACHIEVING AN ADEQUATE ERECTION EVEN USING ORAL MEDICATIONS. I WOULD LIKE TO KNOW IF SOMETHING MIGHT HAVE GONE WRONG AND IF THERE IS ANY THING THAT CAN BE DONE. THE DOCTOR WHO DID THE SURGERY SAID THAT THERE WAS NOTHING HE COULD HAVE DONE TO HAVE CREATED THE PROBLEM. I AM 55 A HAVE HIGH BLOOD PRESSURE. THANKS FOR YOUR TIME
Doctor's Answer
by Stephen Liroff, MD, Mar 11, 2008 12:21AM
, Mar 11, 2008 12:21AM
The venous drainage (outflow of blood) of your penis may have been affected by the surgery and is unlikely to be a surgically correctable problem without insertion of a penile prosthesis (implant). Unfortunately this is one of the risks of surgery that involves the corpora cavernosa (the "erectile bodies", which are probably what your physician explored). This does NOT mean that anything was done wrong. Could there be other factors, such as your high blood pressure and the medicine which, I assume, you are taking? Are you a smoker? Have high cholesterol?
When you used one of the PDE5 inhibitors (Viagra/Levitra/Cialis), did you use maximum doses? Take on an empty stomach? Have sexual stimulation (erections don't occur by themselves with these drugs).
Also, consider the time since surgery. If the surgery was recent, then this problem may well correct itself.
Lastly, consider the emotional side of things. If you are anxious about getting an erection, work very hard at achieving one, then your likelihood of not reaching your goal is great. Relax, don't push yourself. Work with your partner and take the attitude that if you get a good erection, then you can pursue penetration, but, if things don't work out that sexual encounter, then you can pursue other methods of sexual satisfaction. This attitude is true even when using the oral drugs above.
Good luck!
S.A.Liroff, M.D.
"This information is provided for general medical educational purposes only. It
does not necessarily reflect the opinions of Henry Ford Hospital or the
Vattikuti Urologic Institute. Please consult your physician for diagnostic
and treatment options pertaining to your specific medical condition
When you used one of the PDE5 inhibitors (Viagra/Levitra/Cialis), did you use maximum doses? Take on an empty stomach? Have sexual stimulation (erections don't occur by themselves with these drugs).
Also, consider the time since surgery. If the surgery was recent, then this problem may well correct itself.
Lastly, consider the emotional side of things. If you are anxious about getting an erection, work very hard at achieving one, then your likelihood of not reaching your goal is great. Relax, don't push yourself. Work with your partner and take the attitude that if you get a good erection, then you can pursue penetration, but, if things don't work out that sexual encounter, then you can pursue other methods of sexual satisfaction. This attitude is true even when using the oral drugs above.
Good luck!
S.A.Liroff, M.D.
"This information is provided for general medical educational purposes only. It
does not necessarily reflect the opinions of Henry Ford Hospital or the
Vattikuti Urologic Institute. Please consult your physician for diagnostic
and treatment options pertaining to your specific medical condition
