Hi Dr. Richards, I’ve been dealing with a penis injury for about 4 1/2 months. I sustained this injury while hanging a weight of about 1 pound from my penis. I only did this one time for about a minute. I was immediately worried and tried to masturbate after to see if everything was still working. I was able to orgasm but it was no where near as powerful as it normally would be. After 3 days I went to play basketball and after I jumped and came down, I felt like a tearing sensation on the underside of my penis over the urethra where it starts going into your body. I went to the emergency room and was told i was fine without any type of scan. They didn’t think anything was torn or ruptured because i didn’t have swelling or bruising. After 2 weeks I had sex and could only feel pleasure on half of the underside of my penis. I eventually got to a urologist after a month and a half and had an MRI done and they only found that I had a indentation on my left corpora cavernosa and told me I had no tears but I feel like I can feel a tear on my corpus spongiosum. I think its supposed to be smooth from top to bottom but when it gets near the base of my penis I feel like a gap between two points. I was told everything was fine I have had a lot of pain in that area and under my pelvic floor. The pain has been getting better but I am thinking my corpus spongiosum is still torn. It completely inflates during erection but i feel a small line of space where the injury occurred. I have a small feeling of pleasure compared to how i used to be pre-injury. The doctor said the nerves where fine but I don’t think so because I would feel pleasure during masturbation or sex. Im going to another urologist because the other doctors plan of just give it time hasn’t been giving me results Ive wanted. Do you think I could still receive surgery to fix the tear if it is in fact torn? If theres anything you can tell me to help my situation, I would really appreciate it.

ANSWER
I must say it is really strange that they have found indentation affecting your corpora cavernosa but nothing related to the softer tissues of your corpus spongiosum which are usually affected in these cases (safe from the suspensory ligament). I would even go as far as stating that it is highly unlikely that your left corpus cavernosum is affected at all, taking in consideration the nature of the injury (flaccid stretching) which is known not to produce any notable pressure on the corpora cavernosa.

Of what you’re describing, I would say that you may have damaged a median bundle of your suspensory ligament or possibly your corpus spongiosum itself if it is just a bit lower down the shaft. The consistent pain you’ve been experiencing, though, is usually indicative of a corpus spongiosum related damage. However, similar tears usually undergo inflammatory processes (hematomas may also be present) and are filled with collagen scar tissue as a result. I’d say that your case is relatively rare in nature (probably 1 in 15) which may have confused your urologist.

Sensitivity alteration caused by even minor nerve damage is to be expected, as you may have noticed yourself.

“Do you think I could still receive surgery to fix the tear if it is in fact torn?”

Similar procedures are definitely possible and can be performed if a given abnormality is proven and recorded. I’d suggest taking a look at this case: http://www.nature.com/ijir/journal/v18/n2/full/3901389a.html . However, I would advise against similar procedures for at least another 3 months. Sometimes partial tears and sprains can heal by themselves.

You may want to consider trying the SR-Cream (http://store.cure-erectile-dysfunction.org/products/sr-cream/) to deal with any supposed inflammation and to promote increased local prostaglandin E1 E3 and Nitric Oxide levels for tissue healing and restoration. However, I don’t believe that it will be of much assistance in fixing the tear itself. It could dissolve any minor hematomas and prevent scar tissue formation, though.

The other thing that may be of assistance here would be guided imagery healing (http://yourhealingmind.org/product/heal-your-penis) which frequently produces results beyond current conventional medicine expectations.

UPDATE
Thank you for your response Dr. Do you have any idea how long it might take for the tear to heal? I have been avoiding physical activities such as running and sports. My penis when erect now curves slightly to the left also. I do feel the indentation on the left when flaccid but its almost undetectable when erect.
Also can i expect my nerves to heal and regain some sensation? I understand it might not be all the way back to normal but I’ve been pretty depressed with the way things have been progressing so slowly. I will try the cream, can it be applied to the whole penis? I had another injury a couple weeks after my initial injury, i masturbated to hard and it seemed like my penis from shaft to glans had blood under the surface or was bruised. After a couple days my skin began to peel off and has felt rubbery every since. Is there anything else i can do to help the recovery process of the tear? I appreciate the fast response! I will keep you updated.

UPDATE
Hi dr, sorry about all the messages but i was wondering why you suggest not getting it surgically repaired and to wait 3 months? Other things that i have wondered are should i be avoiding all sexual activities? The urologist said getting erections would bring it new blood but he also didnt notice the tear i have. Also i had sex a couple weeks after the injury and only felt sensation on half of the underside of my penis. Should i take that as a good sign that i at least had some sensation that i can recover some more sensation or most? Also at the first when i was injured my urine stream split into two and has since partial returned to normal except its a lot more narrow then it used to be. I appreciate Any information you have about these problems. Thank you for your help!

ANSWER
It’s my pleasure. Let’s get to the questions right away:

“Thank you for your response Dr. Do you have any idea how long it might take for the tear to heal?”

It’s quite individual for every case but the average for similar injuries (where partial tear / sprain is suspected) ranges from 3 to 5 months, and that is given the issue has been properly addressed.

“I have been avoiding physical activities such as running and sports. My penis when erect now curves slightly to the left also. I do feel the indentation on the left when flaccid but its almost undetectable when erect.”

It is not uncommon as a symptom. Patients with suspensory ligament injuries to the left experience the exact symptoms you describe as well. Anything that will compromise tissue integrity from one side or another results in the described respective tilting.

“Also can i expect my nerves to heal and regain some sensation?”

Definitely, it’s actually the first thing to improve, even in patients where the collagen scar tissue remains as a problem. It may take several months, though, and you must limit masturbation and similar heavy on the tissues activities.

“I will try the cream, can it be applied to the whole penis?”

Yes, it’s actually recommended to be applied in a broad manner. Of course, you’d have to use a bit more on the problematic spot itself.

“I had another injury a couple weeks after my initial injury, i masturbated to hard and it seemed like my penis from shaft to glans had blood under the surface or was bruised. After a couple days my skin began to peel off and has felt rubbery every since. Is there anything else i can do to help the recovery process of the tear?”

It sounds like a minor collagen scarring affecting outer tissue layers (the rubbery feel is very characteristic). SR-Cream will be effective but there are other things you may consider as well, such as:

– Gentle tissue massages
– Cold and hot wraps. Best done in the shower with cold and hot water alteration in 2 – 3 minute periods.
– Additional vitamin E cream applied topically.
– Healing visualization.

“Hi dr, sorry about all the messages but i was wondering why you suggest not getting it surgically repaired and to wait 3 months?”

Similar procedures are not without their risks. Any penile tissue manipulation should only be considered only when all the available non-invasive options have been proven ineffective. The condition seems stable and you’re not past the point of the statistical data concerning recoveries of similar kind, so another 3 months would be the natural thing to consider.

“Other things that i have wondered are should i be avoiding all sexual activities?”

Most definitely, the mentioned sexual activities discontinuation usually results in improved penile healing during deep sleep.

“Also i had sex a couple weeks after the injury and only felt sensation on half of the underside of my penis. Should i take that as a good sign that i at least had some sensation that i can recover some more sensation or most?”

It’s a very common symptom, actually, and usually improves dramatically in several months, that is if heavy on the local tissues activities (like masturbation) are partially avoided.

“Also at the first when i was injured my urine stream split into two and has since partial returned to normal except its a lot more narrow then it used to be”

That’s usually indicative of internal collagen tissue scarring and/or urethral damage. It’s actually a bit surprising that you are currently experiencing similar symptoms without any of the more common ones like mid-erection hourglass shape. The only explanation that comes to mind (which excludes collagen scar tissue involvement) is tissue misplacement which has not triggered any severe inflammatory processes.

UPDATE
I noticed on your website that you have recommended to some people taking certain pills that you have for sale on your website. Do you think any of those can be beneficial to me? Thank you for your help!

ANSWER
It’s a pleasure.

That is correct. I believe they can be very beneficial and it goes to my previous advice of improving general health and increasing androgens. The combination that I usually recommend and have noticed best results with in similar cases is: Multi-Alpha, Alpha-Amino, Alpha-HGH, and Ultra-Purified-FishOil.

I used to also recommend 5HTP-Nettle and GRB6-GABA to counter any inflammatory processes. However, the need of such has drastically diminished with the appearance of the SR-Cream.

UPDATE
Thank you dr. I will purchase them but before i do that. I have another issue ive been dealing with also. I tried some vitamin b6 pills 1 month after my injury for 1 month because i read on pegym some guys said b6 would help nervw injuries. I began having burning and tingling in my arms and legs around my mouth and having head aches. I think i have vitamin b6 toxicity and was wondering if you had any information that could help me with this also and if any of the products you are recommending me have any b6 and or anything that with aggravate my symptoms further. Thank you!

ANSWER
Taking just one vitamin (or even just a few) is often very counter-productive as it affects internal organism equilibrium too much. It’s important to keep a healthy ratio between most of the vitamins, minerals, and amino acids to avoid similar occurrences. Your body can actually take extreme amounts of any given vitamin, given that it is also in a proper ratio with all the other supporting substances needed for its proper metabolization. That is why eating much of a given food won’t usually cause any toxicity or problems for a long time, even though you may be eating even higher dosages of vitamin B6 (for instance) with it.

The symptoms you described seem to be indicative of a mild vitamin b toxicity combined with hyperoxia and hyperventilation syndrome (also both very mild). B-group vitamins have been shown to affect blood oxygen levels, and while sufficient levels may actually be used to treat a said condition, going over the top usually promotes the other extreme or the reverse.

Of the supplements I mentioned, Multi-Alpha has vitamin B6 in its formula. It is, however, combined in such a way with the other vitamins, minerals, amino acids, and herbs that any toxicity happening is highly unlikely.

UPDATE
The products i was taking were off a website called herballove.com under their section for penis injuries. In total i think i was taking around 36 mg of vitamin b6 daily. There were other vitamins and b vitamins in it also. I would rather stay away from any supplements that have any b vitamins as i dont want to take the chance to make it any harder to recover from this. Do you know what i can do to help recover from these symptoms? Also do you know how long it usually take for the sr cream and visual healing to be delivered? Thanks again.

ANSWER
Right, avoiding B-group vitamins for a period of time seems to be a reasonable thing to do. I’m aware of herballove’s site and believe they sell quality products, for the most part. I don’t believe that recommending single vitamins (based on their said positive effects) without any strategy whatsoever is a sound practice, though.

Do you know what i can do to help recover from these symptoms?

Given that that’s the true cause, I’d suggest improving general lifestyle and diet, nothing too special.

Also do you know how long it usually take for the sr cream and visual healing to be delivered?

SR-Cream usually takes 2 to 4 business days for Europe and 4 to 14 business days for the rest of the world. It varies highly, though. If you’re from USA, you can expect a status update at http://usps.com 1 to 3 days before the actual delivery (upon arrival at any sorting facility, usually NY).

I suppose you are referring to “Heal your Penis” from yourhealingmind.org? That’s definitely strange. I believe it should be instantly delivered at: http://yourhealingmind.org/heal-your-penis . Could you try logging in and opening the link?

As always, be sure to keep me updated on the case.

UPDATE
I didnt take vitamin b6 by itself though, i took it in a formula they sell with herbs and many other vitamins. I just suspect its the vitamin b6 thats caused these symptoms after looking up that they can cause toxicity in some people. How long does it take for the sr cream to heal the scar tissue?

UPDATE
Hi dr. Im worried that my tear will not heal because you said some partial tears can heal themselves in 3-5 months but then told me to give it another 3 months? By partial what do you mean? I can feel a gap from side to side of the base of corpus spongiosum where it comes out of the body and a gap from one side to the other about a cm or 2 above that, with and without erection. Its like all the tissue of my spongiosum inflates and is smooth up until that point near the base and right above it and is separated. How likely is it that both those tears reattach themselves to the other tissues? Its Exactly where i felt the burning tearing sensation when i jumped. I just dont think my urologist can feel it because my penis tightens up when ive gone for a check up and does not hang loosely after the injury. I have not been examined while having an erection. Im going on to my 5th month of being like this on april 21st. I am tired of just waiting and understand this is a serious problem. I havent gotten many signs of healing except im in less pain walking around. The best outcome i see is being able to have erections but with pain in those areas and close to barely any sensation. If i find a good urologist to perform surgery do the cons out weigh the pros in this situation? Its very hard to deal with this. Any help is appreciated. I just want to figure out the best plan for recovery and get back to normal. Thank you dr.

UPDATE
Hi Dr. Im sure your busy, if you could please respond sometime soon. I have an appointment with a urologist for Tuesday. I hope im able to get him to notice the tear. I understand that degloving the penis is dangerous. Isnt there another surgical method to fix this problem since its at the bottom of the shaft close to the testicles? Maybe only making an incision in that area? I just want to know my options and if it isnt worth risking it, i will not and i will give it more time to heal naturally. If you havent responded before my appointment i will message you with what happens and what the doctor says. I appreciate all your help and advice, thank you!

ANSWER
I apologise for the late reply. Let me get to the questions right away:

I didnt take vitamin b6 by itself though, i took it in a formula they sell with herbs and many other vitamins. I just suspect its the vitamin b6 thats caused these symptoms after looking up that they can cause toxicity in some people.

It certainly makes more sense (product-wise) now that you’ve mentioned it was in a combination. I have to say that if the combination was balanced and a vitamin B6 supportive one, vitamin B6 toxicity should not have been the first thing to come to mind.

How long does it take for the sr cream to heal the scar tissue?

It’s really individual and depends on numerous factors such as androgen levels, local tissue prostaglandin E1 E3 and Nitric Oxide levels, the actual injury itself, genetic makeup, additional useful practices applied, age, diet, and lifestyle. However, the average of all the feedback we’ve received over the years, having combined all the cases, constantly ranges between 3 to 6 months (currently being around 117 days I believe).

Hi dr. Im worried that my tear will not heal because you said some partial tears can heal themselves in 3-5 months but then told me to give it another 3 months? By partial what do you mean?

It’s pretty straightforward really. Part of corpus spongiosum is thinned out due to basic anatomy of the penis. The tear can be considered complete (usually but not always) even if only from one of the sides if it ranges from a thinned out to a thinned out lair, meaning that it should not be able (or will be very unlikely) to heal back in place. The actual size of the gap between layers will also serve as a straightforward indicator of the severity of the tear.

I can feel a gap from side to side of the base of corpus spongiosum where it comes out of the body and a gap from one side to the other about a cm or 2 above that, with and without erection. Its like all the tissue of my spongiosum inflates and is smooth up until that point near the base and right above it and is separated. How likely is it that both those tears reattach themselves to the other tissues?

It’s difficult to say without actually examining it personally. Could you send photos of it?

If i find a good urologist to perform surgery do the cons out weigh the pros in this situation? Its very hard to deal with this.

Since there is no severe inflammation or collagen scar tissue release, the condition seems stable enough. It usually means you have the option to safety wait a bit more without hindering any chances of surgical recovery. All in all, I’d say that if the condition remains unresolved the pros (surgical intervention) would outweigh the cons.

Isnt there another surgical method to fix this problem since its at the bottom of the shaft close to the testicles? Maybe only making an incision in that area.

I believe there are almost no varied surgical options for similar complaints. The intervention would still be as local as possible in nature and rather straightforward, as you can imagine.

If you havent responded before my appointment i will message you with what happens and what the doctor says. I appreciate all your help and advice, thank you!

I certainly hope I managed to answer in time. Be sure to let me know how it went.

Glad if I could help!

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