jonyoung seeks help

[Big Al AdministratorPEGym EditorMale Enhancement Coach Rep.PEGym Hero Find all posts View Profile Close Big Al]

Dan it sounds like a you suffered a penile fracture and it healed wrongly plain and simple, I have a lot of the same symptoms and also heard a pop, sadly I have no idea what we can do about this so I just started a penis enlargement routine and well I have no idea if it will work though it's worth a shot I guess

The symptoms that Dan describes can be attributed to other factors.

If you even suspect yourself of having a penile fracture (and the symptoms for a fracture are usually obvious) then that is something that requires immediate medical attention. You should not even consider any training until that particular problem has been remedied.

Left untreated a fracture can result in Peyronie's.

[jonyoung Senior Member Find all posts View Profile Close jonyoung]

Well in my case I heard the pop in 2011 I believe and both my dopplar have came up normal, one in March of 2012 and one in May of 2014, I do not have Peyronie's disease and yet these doctors don't do shit, so I'm starting penile enlarge to routine and to tell you the truth I don't know if these drs will help dan so I would suggest he do the same or look into a dorsal nerve injury

[Big Al AdministratorPEGym EditorMale Enhancement Coach Rep.PEGym Hero Find all posts View Profile Close Big Al]

Well in my case I heard the pop in 2011 I believe and both my dopplar have came up normal, one in March of 2012 and one in May of 2014, I do not have Peyronie's disease and yet these doctors don't do shit, so I'm starting penile enlarge to routine and to tell you the truth I don't know if these drs will help dan so I would suggest he do the same or look into a dorsal nerve injury

Could the pop that you heard not be the results of a lig pop?

It wouldn't take a Doppler to determine whether or not you suffered from a penile fracture, but it should have come up from a cursory exam.

The following would be a worthwhile read: https://www.pegym.com/forums/erectil...diagnosis.html

[jonyoung Senior Member Find all posts View Profile Close jonyoung]

What exactly is a cursory exam? from what I read its just checking to see if a patient is alert and oriented which I am and well I don't get nocturnal erections or morning erections so therefore my problem is physical, I never get spontaneous erections, my penis is not like it is before deformity , I have serious ed cant even get erect using a penis pump and Cialis doesn't much or anything and I heard a pop so I think a penile fracture is the right diagnosis plus the loss of sensitivity

[jonyoung Senior Member Find all posts View Profile Close jonyoung]

with Dan hearing a pop , loss of sensation, lack of morning wood, and loss of sensitivity on I believe his left side a untreated penile fracture or a dorsal nerve injury makes the most sense IMO

[jonyoung Senior Member Find all posts View Profile Close jonyoung]

and Al the problem is myself and other people didn't seek immediate medical attention

[Big Al AdministratorPEGym EditorMale Enhancement Coach Rep.PEGym Hero Find all posts View Profile Close Big Al]

What exactly is a cursory exam?

A qualified doc would be able to tell if you have/had suffered from a penile fracture. In most cases, the fracture would heal leaving a plaque in place- which would result in Peyronie's.

from what I read its just checking to see if a patient is alert and oriented which I am and well I don't get nocturnal erections or morning erections so therefore my problem is physical, I never get spontaneous erections, my penis is not like it is before deformity , I have serious ed cant even get erect using a penis pump and Cialis doesn't much or anything

Have you given yourself a stamp test to determine if you're not getting erections? Are you aware that there could be other causes besides a penile fracture? Even extreme anxiety might affect morning/nocturnal erections to some degree.

and I heard a pop so I think a penile fracture is the right diagnosis plus the loss of sensitivity

A loss of sensitivity can also be incurred from excessive "testing" (in the form of masturbation) to check if the penis is functional.

My point is that you appear to be making a diagnosis (penile fracture) that might be incorrect. That isn't to say that there is not something physically wrong, but you should accept the possibility that something else might be the cause.

[Big Al AdministratorPEGym EditorMale Enhancement Coach Rep.PEGym Hero Find all posts View Profile Close Big Al]

with Dan hearing a pop , loss of sensation, lack of morning wood, and loss of sensitivity on I believe his left side a untreated penile fracture or a dorsal nerve injury makes the most sense IMO

Your belief isn't necessarily enough to make it a fact. For one, penile fractures often cause immediate effects that go well beyond what you've described. A dorsal nerve injury isn't easy to incur, nor are the effects necessarily lasting.

and Al the problem is myself and other people didn't seek immediate medical attention

Guesswork in this case can cause more harm than good. You can spend weeks looking into any number of potential causes which may or may not be of any relevance to what actually happened. In anxious persons, this can cause a lot of unneeded stress.

If the problems are indeed caused by the issues that you describe then how do you hope to resolve the issue by conjecturing on message boards.

Something that I often see is vigorous denial that there is a mental component to these issues. That's not to say that there wasn't a catalyst like some type of injury, but there are quite a few trainees who spend months or even years struggling from psychological ED who attribute their ED to an injury that left no lasting physical effects. It's a vicious cycle.

This can be attributed to a fear of admitting emotional weakness on the part of the ED sufferer.

Even worse, those in this situation often take up frequent masturbation- not out of pleasure but to test their EQ. This causes a negative conditioning effect because masturbation (or any other sexual activity) becomes connected with anxiety. As time goes by, the greater the correlation between masturbation/sex there is to anxiety, the more an association develops. It can get to the point to where masturbation or the prospect of sexual activity evokes dread instead of excitement.

[jonyoung Senior Member Find all posts View Profile Close jonyoung]

Well all I know is that my penis looks nothing like it did prior to injury nor does it function the same way ( no morning erections, no spontaneous erections, cant really hold an erection or while using a penis pump or Cialis, atrophy in girth bought a new cylinder size for my pump, and the skin sometimes covers my glands ( though the drs say I don't have a buried penis)

I remember hearing a snap though never sought medical attention to almost a year later, and they say penile fracture if left untreated can lead to inability to get an erection or hold an erection and deformity plus with my penis not functioning like it did with jelqing and the penis pump I can assume that my tunica healed wrongly and that is what is causing these problems it all makes a lot of sense and

[jonyoung Senior Member Find all posts View Profile Close jonyoung]

as for anxiety so I do have anxiety no doubt though if you or anyone else had these problems I'm sure they'd have anxiety as well and I have a prescription to valium and did go for bio feed back a few years back so I've pretty much cleared that area and my only other theory is I've pulled this off another website though the drs are pretty adamant that they don't even want to look into this which pissses me off is this


Main Symptoms:

-retracted, hard flaccid penis. resists stretching and remains seized up unless exposed to heat for a generous amount of time
-flaccid penis feels lighter, almost weightless at times
-tightened scrotum
-reduced erection quality. harder to get erections and erections subside quickly without stimulation.
-tight, constricting feeling when erect
-slight reduction in erect length. often times slight reduction of girth.
-indentation on one side of penis, usually the left side. more pronounced when transitioning between flaccid and erect (getting a semi hard-on)
-reduced morning erections and spontaneous erections. morning erections are poor quality and can be very infrequent or never
-cold glans and scrotum
* all symptoms seem worse when in the standing position. everything seems to loosen up a bit and erections are better when sitting

Other Common Symptoms:

-reduced shaft sensitivity (penile numbness)
-penis head won't fill up during erections
-weird reaction of penis when flexing PC muscle (jerking motion rather than filling the penis with blood)
-tightness in perineum
-reduced sex drive
-difficulty urinating/ increased urge to urinate
-different feel to the skin in the genital area, softer and thinner
-reduced testicle size, joint pains, fatigue

Now let's talk about the causes of this condition. At least a few of these should sound familiar to you by now:

-stretching the flaccid penis causing a popping sensation at the base of the penis on one side, just inside the groin area (most common). This causes a frightening retraction of the penis into a small, hard and shriveled state
-injurey during sex or jelqing, can include the same popping feeling as above
-vigorous, prolonged masterbation session.
-injury to the perineum area or base of the penis

Right from the outset of my research, I have found that no one has had legitimate success with visiting a urologist. Ultrasound testing shows nothing out of the ordinary, and people are told that there is nothing wrong with them (or worse, it's in your head). I have not been to a doctor about this as I had no reason to suggest I would have any more success than the next guy (the symptoms of the condition are remarkably consistent among everyone afflicted)

How I made a mild improvement:

The overall tightness in the genital-perineum region seemed directly related to the severity of the symptoms. I found that my perineal muscles, such as the PC were chronically tense as if my body was bracing for the next trauma to the area. I focused on relaxing my pelvic floor for a night. It is tricky at first but gets easy with practice. Think of it like a reverse kegel, but don't put much force into it, just let the area kind of relax. It should feel like the entire region lowers and loosens a bit. This method will allow your penis and scrotum to hang a little lower and will improve erections a little. When sitting down, my erections feel more or less normal because the area is maximally relaxed. Problems continue when standing. This is no cure, but it helps and it did offer insight as to what the structural problem might be.

Nature of the problem:

Most of you are probably experts in male reproductive anatomy by now. I know that I have wasted countless hours trying to find anything that might hint at the cause of the problem. Let's consider the instance of injury by stretching. When stretching the flaccid penis, you are elongating several fascia. In order of deep to superficial they are the tunica albuginea, Buck's fascia, and Colle's fascia (continuous with the dartos tunic and the superficial fascia of the perineum, it is essentially one big sheet). Most people seem to think the problem is with the deeper fascia of the penis, and that there is an injury somewhere along the length of the penis. There isn't.

All of my searching has led me to conclude that the injury is to the superficial fascia of the perineum and penis, which are the same thing and can be referred to as Colles' fasica. The popping feeling many of us felt at the time of injury was this membrane tearing. The defensive retraction of the ruptured fascia is what caused and continuous to cause the constricted flaccid penis. This damaged fascia resists the tendency of the penis to loosen up when flaccid and to grow when erect. The change in appearance of the penis in the days and months following the injury is damage to the fragile tissue between colle's fascia and buck's fascia, known as areolar tissue.

Many people, including myself, complain of reduced "force" of erection, or the decreased resistance of the fully erect penis towards being pushed downwards. I think this is because of some loss of support form the fascia injury. Think of loss of tensile strength of a ripped cloth.

My injury was caused by accidentally swinging a small dumbell into the interface between the left base of my penis, the scrotum, and the perineum while exercising. I am 23 now. I experienced the infamous popping sensation and immediate flaccid regidity. I will periodically get a wierd pain in the left base of my penis, but also have pain in the left side of my perineum when I palpate it. Intriguingly, I have a tender small mass in the rear left of the perineum close to the anus, in the area where colle's fascia attaches to the pubic bone.

Why this is a more serious problem than you may think:

Besides the crappy erection quality, there are a lot of other negative things happening because of this simple injury. The fascia of the pernial region are more or less all connected to one another. The abnormal retraction of the damaged colles' fascia strains the perineal membrane (to which it is connected), resulting in many of the most common symptoms. Here is a list of what important structures pass through the perineal membrane and into the space above colles' fascia and a description of what happens to them when the membrane is constricted.

Deep arteries of the penis- restricts blood flow to the penis, causing a very small flaccid and cold penis
Dorsal arteries of the penis- same as above
Dorsal nerve of the penis- loss of sensation when in constricted flaccid state
Urethra- difficulty with starting urination

Between the perineal membrane and the superficial fascia of the perineum lies the internal pudendal vessels, which supply blood to the scrotum and the penis.

The danger for us lies in the fact that prolonged contraction of these fascia resticts blood flow to the entire gential region. There are reports of testicular shrinkage and continuous penile shrinkage. When the genital and perieal area are totally relaxed, the problem is minimized, but the majority of the time , for us, the areas are far from relaxed. Symptoms are worst after ejaculation, when there is a natural explusion of blood from the area and retraction of the penis.

The blood flow problem explains why L-arginine is beneficial for reducing symptoms. The extra NO produced from the arginine relaxes the blood vessels in the region and allows more blood to get to the penis while both flaccid and erect. L-arginine has helped me a little, but it obviously won't fix any structural problems.

What we can do:

We need to stop looking at this as a penile injury and more as a lower groin injury. We need to seek out doctors that specialize in the area and can order MRIs and ultrasounds to identify fascial tears in the perineum, not just the penis. Use descriptors like chronic pain and tightness in the entire area. My guess is the exact problem is in part of the Colles' fascia near the bulb of the penis (internal base fo the penis). Regardless, an injury anywhere to this fascia will screw up the penis, scrotum, and perineum because it covers all of these areas. There is no way, I repeat no way, any of us will recover without surgical repair of the tear. I have read about one person who has had it for 12 years. Once one of us has success with this the word can be spread. In the meantime, focus on relaxing the perineal area and take supplements like arginine, this will make it a little better for you. I firmly believe normacy can be acheived through locating the problem and surgically fixing it.

Look at these links for threads from other sites and more information about the anatomical structures I have described in this post:

An unresolved case on medhelp of the exact problem we have: rupture of superficial fascia of the perineum - Urology - MedHelp
And again: Perineal Fascia Tear/Rupture - Urology - MedHelp
Medhelp forum thread on the injury: Penis hard even in flaccid state - Men's Health - MedHelp

Anatomy:
Perineum
File:Gray403.png - Wikipedia, the free encyclopedia

[jonyoung Senior Member Find all posts View Profile Close jonyoung]

though like I said I know there is a physical problem and an untreated penile fracture with the tunica healing wrongly or what I just posted above are my best bets

[jonyoung Senior Member Find all posts View Profile Close jonyoung]

I plan on speaking to a sex therapist very soon though like I said the NPT test is usually the indicator whether erectile dysfunction is physical and mental and well since I never wake up with morning wood then it is obviously physical so I plan on sharing my info with the therapist and just seeing what the plan of action is any thoughts or feedback would be helpful

[Big Al AdministratorPEGym EditorMale Enhancement Coach Rep.PEGym Hero Find all posts View Profile Close Big Al]

Jonyoung,

The problem is that you are approaching this situation (in your own words) as a "theory", "guess" or as a "bet". Either your penis was fractured or it wasn't. No offense, but you also seem to be picking and choosing what you wish to hear. You have been given excellent advice but are no closer to getting better.

Isn't it possible that the doctors found that the issue wasn't a penile fracture but you just not convinced of their diagnoses? If your penis was fractured and not treated, chances are that there would be a hardened plaque somewhere along the shaft. This is something that would leave no doubt as to whether or not there was an injury.

Unless the fracture was very slight, you very likely would have experienced extensive bruising of the penis immediately after the injury as well.

While your research skills are commendable, you are conjecturing without anything more than some symptoms (which could apply to any number of ailments) as your back up.

I have seen these types of fixations before (and you can see examples of them on this very forum)- where trainees who believe that they suffered from venous leaks, fractured, penis, and even "Mondor's Disease" only believed this because they correlated what they read from medical literature and attempted to apply it to their own situations.

It needs to be said again- conjecturing what your issue "might" be on internet forums will only lead to more confusion and anxiety. You'll also be aiding those of a confused mindset with more fodder for their anxieties. If you can't accurately diagnose what the problem is then you certainly can't treat it.

In cases like yours a thorough examination should reveal any potential anomaly. If you're truly serious about finding the issue, get a Doppler or (better yet) a cavernosogram done.

Interestingly enough, I've consulted with some trainees who, even after their exams, refused to believe that there was nothing physically wrong with them. The just could not admit that the problem was of their own making.

Deep down inside, it was easier for these men to believe that something was wrong with them. It catered to that part of themselves that relished reveling in being a victim, and it excused them from seeking relationships where their prowess would be challenged because they didn't see themselves as worthy of sexual companionship.

I'm not saying that that's the case with you, but the problems that these men had were very similar, and the longer they suffered from it, the more their self-loathing increased.

I sincerely hope that a thorough exam will help you to discover what's truly at work in your case.

[Big Al AdministratorPEGym EditorMale Enhancement Coach Rep.PEGym Hero Find all posts View Profile Close Big Al]

Jonyoung,

Can it be assumed from this that you suspect yourself of having pelvic floor issues?

if I have pelvic or perennial problems is there are reason they shouldn't be stretching or jelqing I know the penis is an extension or the pelvic floor and part of your penis the bulb is located near the perineum

Would this be in lieu or in conjunction with your current self-assessment?

[jonyoung Senior Member Find all posts View Profile Close jonyoung]

Well Al, I've already had 2 dopplar tests done both came up normal according the urologists and I heard mentioned the snap I heard and the second urologist back in May mentioned a penile fracture healing wrongly and said that there is not a lot we can do for this ( which is why I'm very scared) because you did not seek medical treatment immediately and if my tunica is still messed up or healed wrongly I'm afraid that I might not be able to be successful with PE

and I was diagnosed with CPPS by 2 urologists went to pelvic floor therapy twice, where both my PT pretty much said my pelvic floor was pretty bad my numbers on the bio feedback for tension were extremely high and even during my last stint my PT said my muscles were guarding something and gave me a list of things to ask the urologists which he just blew me off and one of those things was a tear in the perineum

So no I'm not making self diagnosis and now everything is not all in my head ( I wish it was) I'm just a guy with a small penis and a lot of serious health problems , I didn't even believe a penile fracture occurred up until a urologist mentioned it but after talking to the uro and reading online its a very strong possibly