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 wasn’t painful as such, but it didn’t 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

The pump over-expanded 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 an injured penis. It becomes quite easy to injure the suspensory ligament through the improper inflation of corpus spongiosum (due to varicose veins, internal collagen release, and damage to the corpus spongiosum itself). The snap sound you felt is most probably the sound of torsion and misplacement of the suspensory ligament. Actually, you’ve double-damaged your penis.

The penile bending may get worse through the ongoing collagen scar tissue formation, usually takes 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 – no further examination/test will be required at that point. However, if the damage involved only a suspensory ligament, the damage may not seem “real” enough for many doctors to even perform a proper physical examination. Ultrasonography may be performed to reveal additional hematomas and show the exact damage.

An invasive method to fix the ligament condition exists – 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 of the patients that undergo the procedure do 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, should be addressed and such and kept as a last resort. Usually the suspensory ligament will heal if the problem is addressed properly.

Such traumas should heal over time if properly addressed. Much blood flow 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. A combination of Multi-Alpha, Alpha-Amino, Alpha-AGH, 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. A burning sensation will be later transformed to itching – a sign of the healing that will be taking place.

Also the SR-Cream will to additionally address the issue as well as possible. It has been developed for to address similar traumas. Should be applied on the penis, and in this specific case, at the base as well. Any internal mild hematomas or collagen scar tissue will be dissolved.

Testicular cooling procedures (uBreeze) may also prove to be beneficial by additionally increasing androgens.

As for the Tribulus – excessive Tribulus stimulates the pituitary function for more LH and FSH, which in turn stimulates 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 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. If you have adequately working hypothalamic-pituitary-adrenal-testicular axis and modulation on excitatory and inflammatory response, Tribulus Terrestris may prove to be beneficial.

You will also benefit from hot wraps and baths.

Glad if I could help!