Hello Dr Richards,
I’m French, so sorry if my english is not perfect.

I write you to speak to you about my very severe penile damage which happened 3 years ago!

It happened when i was 25 during a sexual intercourse with my gf at top of me. She made a strong bad lateral movement while i was inside her and i felt big pain in penis. There was no blood or no hematoma. But few days after, i started to lose sensations in penis, coldness, atrophy of flaccid penis, impotence, and change of anatomy, with a torsion at left base!!

Despite all these symptoms (and that i had never had any problem there before and i was in good mental and fisical health), doctors found nothing wrong.

Finally i took some cialis and even with that it was nearly impossible to erect. I could do it only if i was lying on my back but i lost erection as soon as i was standing up. It was sensationless. I also realized i had lost penile length and there was a mild curvature on right side -the side opposite to the torsion at left base- (but not typical peyronie disease , and strangely the doctor couldn’t feel any fibrosis at curvature area).

I lived long time like that, it was very depressive, and i finally tried to heal myself by diet, supplements, chinese medicine, etc etc. I partially managed to have some improvement. I had not recovered my penile length, my good sensations from before injury, i still had the curvature (small one), but i could have sex more often with my gf, more morning erections (despite i still needed to lie on my back and it was still falling if i was standing up), and i didnt need to take cialis anymore. Even if it was not very good, it was a real improvement.

Finally, very recently, i saw a supposed to be healer’ who was a fake in fact. As i still had no sensations inside penis, and a feeling of ’empty’ penis (very light), i was advised this guy by a friend of mine. He was supposed to help penile nerves thanks to a cream. In fact, he made some movements and manipulations at the area of damage/torsion at left base. The days after, my penis totally changed of anatomy again, it became very big at flaccid, very soft, sensations were bad , with a VERY LIGHT penis (even difficult to feel i had something between the legs!!) and all the progress i had done concerning erectile mechanism were gone!!! totally impotent again, with a sort of leakage on left base. This base was maintaining better erection these last times (i think there was scar tissue there, it was bad but ‘solid’) and it’s as if this hardness had disappeared (!) after the fake’s manipulation, as if he would have broken scar tissue (is it possible??)

Now i’m like this and i cannot accept it at my age.
I’d like to ask you
1) have you heard about cases like mine (i know other guys who have about the same) and do you know what hapened after the fake’s manipulation? Are my nerve endings damaged? Is it related to scars inside tissue at base of penis?
2) after all this time with a damage (even if i had had some progress), is it possible to recover?
3)How is it that my penis, which was ‘pointing to the sky’ before accident, falls on my belly when i’m lying on my back the very rare times i can ‘erect’, and how is it it directly falls when i stand up?
4) Do you know some tips that could help me? Do i have sill hope?

Sorry to have been long but it’s a very hard problem to deal with, and thank you for your answer.
Regards

ANSWER
Hello,
If you had a 100% solid erection during the act, the damage should be located around the roots of the corpora cavernosa and corpus spongiosum near the bulbourethral glands. If you had a weak erection, the damage should be just above the pubis.

It certainly sounds as if you tore your corpus spongiosum and the supporting ligaments at the base from the side. If the supporting ligaments are torn or misplaced, the torn corpus spongiosum in the area won’t be inflating properly – that is why your penis slightly bends to the side. It is probable that with a lot of manual stimulation and just before you ejaculate your penis will look healthier, but that doesn’t bear any significance as far as the specific condition goes.

These traumas are difficult to treat, since the ligaments and the spongy tissue have to heal properly. A recurrent trauma will make a complete mess out of it.

“1) have you heard about cases like mine (i know other guys who have about the same) and do you know what hapened after the fake’s manipulation? Are my nerve endings damaged? Is it related to scars inside tissue at base of penis?”

Yes, I’ve seen similar cases. It is actually a common trauma. I suspect the healer to have misplaced the certain ligaments at the base prior to their recovery. Basically, your penis mast have gotten completely disconnected and is now just hanging without any support.

“2) after all this time with a damage (even if i had had some progress), is it possible to recover?”

It’s certainly more difficult to recover in cases of recurrent traumas and ruptures.

“3)How is it that my penis, which was ‘pointing to the sky’ before accident, falls on my belly when i’m lying on my back the very rare times i can ‘erect’, and how is it it directly falls when i stand up?”

In this specific case, it should be difficult to sustain the erections in an upright position through the lack of support provided by the ligaments at the side.

“4) Do you know some tips that could help me? Do i have sill hope?”

Such traumas should heal over time if properly addressed. Much bloodflow to the area is essential for the healing. There are several agents that will better sexual functions and are responsible for penile tissue health and integrity. A combination of Multi-Alpha, Alpha-Amino, Alpha-HGH, and Ultra-Purified-FishOil will promote high androgen hormones and elasticity prostaglandin E1 E3 and Nitric Oxide for healing. A burning sensation that will later transform to itching will be experienced – a sign of the healing process taking place.

Also, SR-Cream may be applied on the base of the penis to additionally address the issue as well as possible. Any mild hematomas or collagen scar tissue will be dissolved.

You will also benefit from hot wraps and baths.

Glad if I could help!

UPDATE
Hello Dr Richards,
1) 1st i thank you to have clearly answered, as what you are telling me is EXACTLY what i feel. No specialist managed to give a diagnose!! But once again, the thing you tell me is exactly what i thought (as i’ve learnt a lot about penile area during all this period). It’s a good start to know what the problem is after all this time.
I precise you my erection was quite hard during the act which hapened 3 years ago.

2) I have a question directly linked: why no exam (eccho doppler, palpation, etc) didnt show it? Can MRI show this area? Or do you know any exam to show it.

3) i quote you: ‘It sounds as you tore your corpus spongiosum and the supporting ligaments in the base from the side. The supporting ligaments are torn or misplaced, and the torn corpus spongiosum in the area is not inflating properly, that is why your penis slightly bends to the side. It is probable that with a lot of manual stimulation and just before you ejaculate your penis will look healthier, but that doesn’t mean anything.’

>>>> that’s EXACTLY that, and when i stimulate manually, i can become hard, but if i stop, hardness directly falls.

My 2nd trauma is not really a ‘trauma’, it’s more bad manipulation from this fake ‘healer’. He stretched this left base, and the anatomy changed again, it became bigger, softer but even worsened impotence.

4) So in fact, i will have to stay like that all my life? Coz your diagnose is right, and there re had bad manipulations on it+ it’s so long i have it…. No way to heal?

It’s strange that is common trauma as no specialist were able to tell me that.

Also, the term ‘disconected’ is EXACTLY what i feel too.

5) i quote you: ‘In cases of recurrent traumas and a complete rupture gets more difficult to recover completely’. >>>> when you say ‘more dificult’, does it meaan ‘impossible’, honestly? or possible but longer? How to know if the rupture is complete or partial?

6) As you seem really competent for diagnose, and i’m about 100% sure you well pointed what my problem is (and knowing the worsenings after fake’s manipulation and even after an osteopatic manipulation that i had not precised in 1st mail), do you sincerly -really sincerly- think i can recover over the time? I dont want to have a penile implant so young, and i dont want to live my life like that, so if i cant heal i prefer knowing it now than taking so many suplements for nothing… Please tell me honestly what you think. I have heard gotu kola or serapeptase can help for healing internal tissues. Fish oil is helpful too, as you suggest. I know boirage oil is good for elasticity of tissues.

My goal -if possible- is really to heal and not only ‘buying things’ which wont help as i’m in a bad financial situation too. I will only buy what really helps, if it’s possible.

7)To conclude, so the lack of sensitivity is also due to that yes? So, as for you, is there fibrosis at area of bad scarring or not? (as i feel one side -the damaged one- is shorter than the other one). And are the torn ligaments are possible to ‘reput right’ manually? To finish, do you think suspensory ligament itself is touched or not this one?

Anyway, i thank you for your quick and precise answer. Sorry to have been long.
Best regards

ANSWER
These traumas do not usually require imaging. If done properly, a physical examination may reveal a gap between the base of the shaft and the pubis, and no further tests will be required. However, the damage may not seem “real” enough for many doctors to even perform proper physical examination. Ultrasonography may be performed to reveal additional hematomas, and show the exact damage.

Usually, the damage is combined with a small internal hematoma, scar tissue release, and nerve damage (through the compression and the scar tissue), as well as blood flow issues, so the suspensory ligament never heals properly. My advice remains the same, I’ve seen my fair share of similar to almost exact conditions improve dramatically though this non invasive cycle. However, there is an invasive method to fix the ligament condition. A suture of the ligament through the suprapubic access can be done, the ligament will then be reinforced or repaired if possible.

Note that many patients through the years have undergone the procedure, yet again, many of them did not experience any erection or sensitivity improvement without addressing the scar tissue formation, nervous compression, and the blood flow issues at the base (and not only).

I’m glad if I could help!

UPDATE
Thank you for this answer but I’m getting kind of confused reading about it. Can you tell me the difference between the supporting ligaments you mentioned and the suspensory ligament?

Most of doctors told me suspensory ligament was not involved in erection, only in maintenance but not in acheving it. Also, they told me there was no link with lack of sensations/ coldness of penis.

So, coldness would come from nerve which are “trapped” in scar tissue at base? I have always thought that, despite i’m not doctor, but i tried to munderstand my body as i suffer too much with that condition.

But you insisted on the fact this condition was hard to treat (moreover with the different worsenings i had then) and finally at the end it didnt seem to be so ‘hard to heal’ in your last sentence, so i didnt really know if you thought that it’s impossible to heal and you didnt want to tell me that directly not to make me in despair, or if it was really possible.

Would you say that if in a 1st time i can manage to reverse scar tissue at base, there is a way ligament (and corpus spongium) heal after?

Is there a way, as for now, to quickly fix coldness inside penis (i feel it in the glans) and give sensations back (horrible since the ‘healer’ fake’s manipulation). And by what way the fact this person pressed (but not TOO strongly) on my left base could change anatomy of my flaccid penis, and worsened impotence so severly??

To conclude , do you know if such a trauma can have consequences inside perineum or it has nothing to do together?

Best Regards

ANSWER
“Thank you for this answer but I’m getting kind of confused reading about it. Can you tell me the difference between the supporting ligaments you mentioned and the suspensory ligament?”

The suspensory ligament is comprised of two components. One will be the
connection to the midline of the pubic symphysis and the other will play role in penile side stability.

“Most of doctors told me suspensory ligament was not involved in erection, only in maintenance but not in acheving it. Also, they told me there was no link with lack of sensations/ coldness of penis.
So, coldness would come from nerve which are “trapped” in scar tissue at base? I have always thought that, despite i’m not doctor, but i tried to munderstand my body’ as i suffer too much with that condition.”

Yes, it is just a ligament, so it won’t play any direct role as far as the erection process goes. However, what are many of the doctors missing here is that if you injure ones supporting ligament, you will alter the nerve and valves angle at which they used to work, thus altering the whole internal functioning (bloodflow and nervous). Moreover, such traumas will lead to collagen scar tissue release from the tissue, which in turn will cause numerous ill chain reactions and lead to form of erectile dysfunction.

“But you insisted on the fact this condition was hard to treat (moreover with the different worsenings i had then) and finally at the end it didnt seem to be so ‘hard to heal’ in your last sentence, so i didnt really know if you thought that it’s impossible to heal and you didnt want to tell me that directly not to make me in despair, or if it was really possible.”

“Would you say that if in a 1st time i can manage to reverse scar tissue at base, there is a way ligament (and corpus spongium) heal after?”

It is not that easy to treat such traumas in a time manner the patients usually expect (one week to a month), but is very treatable. Also, the ligament may heal a little shorter than before, which will lead to a loss of flaccid length.

“Is there a way, as for now, to quickly fix coldness inside penis (i feel it in the glans) and give sensations back (horrible since the ‘healer’ fake’s manipulation). And by what way the fact this person pressed (but not TOO strongly) on my left base could change anatomy of my flaccid penis, and worsened impotence so severly??”

SR-Cream will better the condition locally. However, the internal biochemistry had to be addressed as well.

“To conclude , do you know if such a trauma can have consequences inside perineum or it has nothing to do together?”

Sometimes penile traumas lead to disorders and hematomas in the perineum area, which still baffles numerous specialists.

I sincerely apologize for the late reply!

Wish you a fast recovery!

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