Penile injury
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Anonymous
Hi Dr Richards,
I am a 42 year old man, I injured my penis 5 months back with a pump. Since this injury I have had pain and swelling in the veins of my penis, the dorsal vein looks blue and distended at its base and a number of smaller spider veins have appeared. I have also had lots of unusual sensations in the penis. I have stopped masturbation and reduced sex to almost zero. I have had sex about 3 times in as many months. The last time I attempted it I felt what I can only describe as a 'snap' inside my penis, it wasnt painful as such, but it didnt feel right. The following day my penis hung very flaccid and large. Since this incident I have noticed that I suffered burning and itching sensations at the base of my penis. I have also began to have numbness in my lower legs and feet. The base of my penis aches and has a burning sensation in it most days now. I have also noted a slight bend in my penis when erect, will this get much worse and how may I stop it doing so?
I have read on your website that it is important that one encourages non stimulated erections to help the healing process as this will allow better blood flow to bring healing nutrients to the injury. How does one do this, would taking a testosterone booster such as Tribulus terrestris help this happen?
I still get erections in my sleep and if kissing my wife can attain a spontaneous erection. I am also trying to get to the gym a couple of times a week to help keep my testosterone levels up.
I am worried that I may be showing signs of sexual exhaustion and inflammatory response and really want to get better soon as this putting me under a lot of psychological stress and worry. You cannot believe how much I regret using that stupid pump and urge anyone reading be not to be as stupid as I was.
I look forward to your reply and professional advice
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Hello.
The pump overexpanded and subsequently caused damage and inflammation to the penile tissues and veins. You may take a look Here, and Here if haven't already.
It was not a good idea to have sex with the injured penis. It becomes quite easy to injure the suspensory ligament of the penis through the improper inflation of corpus spongiosum (due to varicose veins, internal collagen release, and damage to the corpus spongiosum itsel) for prevention of 100% hard erections and a complete seal of the penis. The snap sound you felt is most probably the sound of torsion and misplacement of the suspensory ligament. So actually you've double-damaged your penis.
The penile bending may get worse through the ongoing formation of the collagen scar that may take many months. It may later become permanent if the scar is calcified.
If done properly a physical examination may reveal a gap between the base of the shaft and the pubis, and no further test will be required. However, if the damage involved only a suspensory ligament, 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.
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 achieve any erection or sensitivity improvement without addressing the scar tissue formation, nervous compression, and the blood flow issues. However, this is an invasive method and I would save it as the last possible measure that may be taken, usually the suspensory ligament will heal if the problem is addressed properly.
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, as well as the healing properties - so a combination of Multi-A, A-Amino, AM-HGH, and Ultra-Purified-FishOil will promote high androgen hormones and elasticity prostaglandin E1 E3 and Nitric Oxide for healing. After a couple of days using them you will feel increased blood flow to the area along with strong urge to have sex, the burning sensation will be later transformed to itching - a sign of the healing process that will be taking place.
Also the SR-Cream will to additionally address the issue as well as possible. It is specially developed for exactly the same and similar traumas. Should be applied on the penis and in this specific case at the base, too. Any internal mild hematomas or collagen scar tissue will be dissolved.
As for the tribulus - excessive tribulus stimulates the pituitary function for more LH and FSH which in turn stimulate the testicular function. However, it may act aggressively in moderate and high dosages, and if a temporary improper testicular function is observed (especially due to arterial constriction) will lead to abnormalities by overworking the hypothalamic-pituitary-testicular axis (whithout sufficient androgen hormones for a negative feedback) for sympathetic nervous fires, anxiety, premature ejaculation, hot flushes, and even heart palpitations. It will not provide proper modulation on inflammatory and excitatory hormonal release, but just blindly overdrive the hypothalamic-pituitary-testicular axis. However, one may benefit from Tribulus once proper modulation on stress and inflammatory hormonal releases, hypothalamic-pituitary-testicular, and dopamine functions are functioning properly. You may consider low dosages and see the exact effect, see if there are positive results. If you have adequately working hypothalamic-pituitary-adrenal-testicular axis - tribulus terrestris may prove to be helpful.
You will also benefit from hot wraps and baths.
Glad if I could help!
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Should I discontinue this as I read it may hinder recovery. Will I be ok to just do cardivascular training?
Light aerobic exercise would be of great help for the proper homeostasis restoration and penile injury treatment. However, should be careful not to overtrain in any way.
I am very concerned about the numb/cold feelings in my legs, are they a sign of exhaustion? I have other symptoms such as needing to urinate more often and have pain and a sort of achey feeling where the prostate is. I also have a strange ache at the base of my penis.
The feelings in the legs may be related to numerous circulatory issues and possible artery narrowing. The frequent need to urinate is indicative of abnormal arginine vasopressin levels, usually as a result of abnormal inflammatory response and heightened prostaglandin E2 levels, as well as slight prostate and/or bladder inflammation. The ache at the base of the penis is indicative of the damage and inflammatory response in the area.
Will these symptoms stop once my penis has healed or will they remain until my hypothalamic-pituitary-testicular axis has recharged itself. How long will this take given my age and should I stop having sex until all is well again?
Sorry for all the questions, I just want to do whats best.
It depends on the symptoms described. However, a full recovery is not possible without normal hypothalamic-pituitary-testicular axis functioning.
It differs. The penile traumas take around 6 to 9 months to fully heal. Sexual activities should be reduced to 1-2 times per week.