No Erection Whatsoever following Stretches

[Pegasus AdministratorPE Gym EditorPEGym Hero ☺ Admin of the Month Mar 2015 Find all posts View Profile Close Pegasus]

When are you seeing a physio?

[WanderingVagrant Member Find all posts View Profile Close WanderingVagrant]

When are you seeing a physio?

Hey Pegasus. Where I live, I found two physical therapists who deal with the pelvic floor, both about an hour away. Both of them require a referral however from a urologist who determines the issue to be pelvic floor related. The urologist that told me to rest before I see him again can also do internal testing to check my pelvic floor.

To answer your question, after I go back to see the urologist mid-October, that is likely when I can get a referral to a pelvic floor physio should he determine that to be the issue. About 5 weeks to go.

[Pegasus AdministratorPE Gym EditorPEGym Hero ☺ Admin of the Month Mar 2015 Find all posts View Profile Close Pegasus]

Glad I live in aussie.

[WanderingVagrant Member Find all posts View Profile Close WanderingVagrant]

It's now been one month since my injury.

Current symptoms:
-occasional constipation.

-dribbling after urinating until I lay down or shift to relieve the hard flaccid.

-hard flaccid. It's relieved slightly if I lay down on my back or if I'm urinating.

- noticed a random indentation/hourglass shape in semi-erect penis after warm bath
-penis torsion of about fifteen degrees, leans to the right until erect.

-can't achieve proper erection if standing, only if sitting. If I'm aroused when standing, the erection just goes fills up to bend towards the right side, and is only about 30%.

The only improvements so far have been with pain. The pain in the shaft when I'm erect and in the area right underneath the head on the right side are gone. I'm pretty happy about not being in constant agony anymore. Bathroom issues are certainly disconcerting but at least they don't hurt.

I'm still resting and avoiding all contact with my member. Porn is also a no. Unfortunately, I almost had a night emission early this morning. I woke up before I climaxed by some miracle and went to the bathroom to calm down. The erection was pointed to the right in my pants, and when I freed my penis from my underwear, it sort of straightened out a bit and precum launched out. The line of raised skin I mentioned earlier in the thread re-appeared right under the glans and was red. No idea what it is, but I'm suspecting it might actually be a tube. It looks nothing like a vein.

Man, the mental strain of abstinence is ridiculous. I have a newfound respect for the clergy and monks. I hope that four more weeks of rest will at least fix the bathroom problems.

[WanderingVagrant Member Find all posts View Profile Close WanderingVagrant]

So... How bad is blood in stool? No pain, but I was constipated the last day and a half and finally went.

[Pegasus AdministratorPE Gym EditorPEGym Hero ☺ Admin of the Month Mar 2015 Find all posts View Profile Close Pegasus]

Physio.

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

So... How bad is blood in stool? No pain, but I was constipated the last day and a half and finally went.

Umm potentially very bad.

When have you ever heard: "I have bloody stool, but it's not a big deal."?

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

So... How bad is blood in stool? No pain, but I was constipated the last day and a half and finally went.

Bright red blood at the end, or dark blood in the actual stool? Might just be hemorroids.

[WanderingVagrant Member Find all posts View Profile Close WanderingVagrant]

I asked some nurses on campus who said that bloody stool is certainly possible after a period of constipation. Apparently, it isn't that serious an issue unless I experience sharp pains, persistence of the condition, or dizziness. I've never had this before...

[WanderingVagrant Member Find all posts View Profile Close WanderingVagrant]

Physio.

Hey Pegasus,

I see that you are adamant in getting me to a pelvic floor physiotherapist. As you might imagine, I will probably face difficulties getting the urologist to refer me there. This I confirmed after a conversation with another family practice doctor who is attempting to diagnose me with Peyrione's Disease and wants me to get it checked by the urologist when I go back to see him.

I don't see how the torsion in my penis and bend can be caused by pelvic floor dysfunction, but I can certainly see how they might be affecting hard flaccid and bowel issues. I'm a little skeptical, as I hope you understand, but I'm certainly open-minded enough to give it a try.

The urologist mentioned a cytoscopy, but to be honest, I'm scared about the possibility of urethral scarring. I'm asking to see if any of you are familiar with imaging studies to find the source of a torsion and bend, and I kindly request your help in formulating my persuasive argument to the urologist in sending me to a pelvic floor specialist.

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

Torsion in the penis makes it potentially also a peyronie's or atleast an early version of peyronie's diagnosis. I hope you can get the conservative treatment drugs for it atleast until you get a check up (no idea why its this bloody slow)

Also, the root of the penis goes in both directions and goes through the ischiocavernous muscle and attaches to the hip bone. So, its not unreasonable to assume that a potential cause of torsion could be related to the pelvic floor affecting one of the penis tubes leading to bends/torsion, but I would focus on peyronie's treatment to control it to be safe The sooner the treatment the better. The hourglass indentation is also a sign of this.

But, you also show signs of Pelvic floor issues, with the hard flaccid, urinary issues, postural erection issues.

[WanderingVagrant Member Find all posts View Profile Close WanderingVagrant]

Also, the root of the penis goes in both directions and goes through the ischiocavernous muscle and attaches to the hip bone. So, its not unreasonable to assume that a potential cause of torsion could be related to the pelvic floor affecting one of the penis tubes leading to bends/torsion, but I would focus on peyronie's treatment to control it to be safe The sooner the treatment the better. The hourglass indentation is also a sign of this.

Sounds convincing enough. Thanks. Hopefully that will be good enough for a urologist.

I hope you can get the conservative treatment drugs for it atleast until you get a check up

As far as "conservative treatment" goes, what kind of drugs am I looking at? I've been taking Vitamin E, a multivitamin, and about 1000 mg of fish oil everyday.

(no idea why its this bloody slow)

I mean, I can definitely schedule an earlier appointment to the urologist now that I have insurance. As of right now, I'm going the second week of October. Would it be better for me to schedule earlier?

Last question. I mentioned my fears of a cytoscopy. This is because of two stories I heard, one from a relative and another on a forum. The relative had a rigid cytoscopy that left him in agonizing pain for four days after and bleeding from his penis. The forum member had to have a second cytoscopy surgery to remove scar tissue left over from the first, and is left with a minor case of impotence. Should I still do this test, or can I request to have an ultrasound done instead?

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

Sounds convincing enough. Thanks. Hopefully that will be good enough for a urologist.

It is very hypothetical, and I cannot be sure, but it kind of makes sense.

As far as "conservative treatment" goes, what kind of drugs am I looking at? I've been taking Vitamin E, a multivitamin, and about 1000 mg of fish oil everyday.

Conservative treatment involves anti inflammatories (like aspirin) fibrinolytic agents, heat, and also ice packs. Vit E oils etc can also help.
Specific drugs like pentoxifylline (important), verapamil (transdermal ointment), mag sulfate (gel form to rub on penis) (either one of the gels) etc

PS: I cannot prescribe these to you, so I recommend that you definitely meet up with a urologist asap.

Last question. I mentioned my fears of a cytoscopy. This is because of two stories I heard, one from a relative and another on a forum. The relative had a rigid cytoscopy that left him in agonizing pain for four days after and bleeding from his penis. The forum member had to have a second cytoscopy surgery to remove scar tissue left over from the first, and is left with a minor case of impotence. Should I still do this test, or can I request to have an ultrasound done instead?

you should bring this up with your uro, but personally I prefer things to be non invasive so I'd go with the ultrasound. However in your case, a cysto would be more beneficial.

[WanderingVagrant Member Find all posts View Profile Close WanderingVagrant]

Rescheduled urologist appointment for this Thursday. I will be adamant about checking pelvic floor troubles and getting imaging tests to confirm Peyrione's disease as a result of injury.

I'll update here sometime then. My thanks to INS and Pegasus for the help.

[WanderingVagrant Member Find all posts View Profile Close WanderingVagrant]

So the doctor agreed that there have been improvements. I'm not in pain for one thing after the physical exam, and the urine flow is back to normal. Dribbling afterwards has lessened but still there.

I chickened out of the cystoscopy the moment it was mentioned, but he told me he wasn't going to recommend it anyway. The logic was that if I did in fact have a problem with the lining of the urethra that they could verify, the solution is to wait for it to heal. Thus, there wouldn't be a point in checking until confirming that letting it rest isn't working.

As far as Peyrione's goes, I mentioned conservative treatment drugs to him, but he told me that if the chambers were damaged when I did the PE, they would be still be in the process of healing which is why the hourglass isn't present all the time. I've only seen it twice after all, and after a warm bath both times.

Constipation is unrelated. He said it would be way too outlandish to assume I strained my pelvic floor muscles. I pressed him on this twice, but he basically told me that I was being a head case about it, so I backed off. I don't want him to write that in a medical report if I seek a second opinion.

Last thing about the hard flaccid. Obviously after urinating for the UTI test, it relaxed and wasn't there anymore, and I couldn't show him what I was dealing with. I explained the symptoms, the sharp pains, the torsion, and he didn't think it was a result of something other than possible chamber damage that needed to heal. His reasoning was that if a blood vessel really was busted that bad, and the body hadn't healed it after a few months, it's already gone.

Too long; didn't read:
Rest for another 6-8 weeks before going back for invasive operations and testing. His opinion is that hard flaccid is a head case and the constipation is unrelated. Pains and torsion will either fix itself or won't. Ultrasound and cystoscope could better identify problem, but end result is the same, which is to let it heal. If I'm stuck with a twisty penis, I'm stuck with a twisty penis.

I'm going to start the daily pelvic flow exercises in the sticky for erectile dysfunction. I don't think it's a head case, and I don't think I'm getting a referral. I have no problems with abstinence and no porn for another 6 weeks... if anything, EQ when I'm laying down and morning woods are stronger than before I injured myself.

Peace out, we'll see how it goes.