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Penis hard even in flaccid state

Hello. I have posted a bit in someone else's thread, but wanted to make my own. I will give a brief rundown of the situation.

When i was 15, i was wrestling around with some friends , and felt an odd pop in my lower abdoment along with a very weird sensation in my groin. Went to the bathroom, and noticed my penis and almost fully retracted into my abdomen and was stiff , even though it was in its "flaccid" state. I went to the doctor a few months later , (being a young teen i was embarrased) and he said he didnt know, but its probably nothing to worry about and it would probably resolve itself. It never did, and i am 27 now.

It doesnt affect my sex life directly, i can achieve and maintain an erection just fine, urination is fine as well. The problem is, that it is very uncomfortable, and makes living a normal life nearly impossible. I have sever anxiety attacks about it, i guess from feeling like i am not in control of my own body. The feeling is horrible and i wouldnt wish it upon anyone.

I saw a urologist about a week ago, and he dismissed it as caused by anxiety. Yes, i said, the anxiety makes it worse, but it shouldnt be stiff in the flaccid state. He said he felt some fibrous tissue, and suggested maybe a mild case of Peyronies. But all the research i have done on peyronies, nothing fits except for the fibrous tissue. My erection does not curve, and peyronies patients dont complain of severe retraction or hardess while flaccid. Priaprism?

Anyone have any ideas?
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Avatar universal
I was prescribed caverject by my urologist  which with the first few applications I found initially to be of great help

However the problems which I am now experiencing are even worse to the impotence before.

The base of my shaft now feels 'woody' or 'stubby' as if it is made of cork, and my flacid penis has shrunk to half the side of what it once was.

Originally after the initial doses I had complained to the urology nurse about the pain I had experienced during sex and after using caverject but I was told that this was often the case as the penis suffers atrophy because of impotence and the caverject 'stretches' it back into shape.

At the time I didn’t even believe this as I could at least get some form of normal erection with Viagra, even if it didn't last as long as the Caverject and I got the headaches afterwards.  But two years on, I am regretting using this drug altogether because of what it has done to the base of my penis which now has little to no sensation whatsoever.

In the flaccid state it doesnt hang correctly either.  It is as if the base is solid. like something is 'there' inside...It always feels lumpy.

The burning, aching pain during sex was at times excruciating, It was as if I had injected acid...and it burnt and itched inside, but if that wasn’t enough my penis is now stumpy ather than normal when i have an errection.

I wish I could just find a urologist now who will recognise what I am trying to tell him is true and is prepared to try to rectify this back to normal if that is possible.

Can any of you guys advise me *please*?
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Avatar universal
A related discussion, Re;Caverject. was started.
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A related discussion, this is how to heal the best you can was started.
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Hi all,

I had a second MRI performed a week ago (this time, of the pelvis), and I received the results today.  Granted, these are simply the results from the radiologist, as the neurologist has yet to review them.  I'll post again when I hear from him.

First, a side-note regarding IV-administered MRI contrast dye containing gadolinium: I had a reaction to the dye immediately (vomited in the MRI machine) and for about 4 days afterward I was light-headed, nauseous, and had near constant headaches and blurred vision.  If anyone has an MRI with contrast dye, please research the complications that can arise (especially if you have kidney problems).

The MRI results are as follows:

-Thickening at the left sacral plexus: I'm assuming this means that the sacrum itself is thickening, thus impinging on the nerves coming out of S2-S4 (which feed into the pudendal nerve).  I also have the suspicion that the pirformis is inflamed where it connects to the sacrum.

-Perineural venous varix: My understanding is that this is similar to a varicose vein surrounding a nerve.  Seems reasonable that this could also lead to nerve impingement.  How it relates to the sacral thickening, I'm not sure.

-Fibrocystic tissue: Not entirely sure what this means yet.  Could be the trigger points I've been treating.

-Femoral acetabular impingement:  This tends to explain the symptom of my left hip [acetabular] joint popping more than the right one does.  How exactly it is being impinged is not known to me.  The link between this symptom and the sacral symptoms seems to be the pirformis muscle.

So, in summary, my armchair assessment leads me to believe that the impingement of the S2-S4 nerves accounts for the full range of pelvic symptoms I've experienced.

The questions that remain are: What precipitated this impingement, and what are the treatment options?  All things considered I'd rather not have surgery - but I'm open to anything.  More to come as the story unfolds.

P.S. I'm 33 years old.
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Avatar universal
Hi guys.....well sorry to say that I am a 37yo nurse and my husband has had this same problem as you guys for the last 12 yrs on and off.  He's also been in a dark dark place and can't seem to get off the lounge.  Cant sit or stand for very long.  We have been to uro's, andro's, GPs, surgeons, - first they said it was due to a varicocele - but NO - latest Ultrasound says not.  Im thinking (after countless sleepless nights of research) it may be some sort of thrombosis in a minor vessel that feeds or drains the penis of blood. And yeh - like u guys....no problems with sexual function......one Dr told him it was all in his head....I could have strangled the guy myself!!!!  Anyway - we're off to a vascular specialist in Sydney (1st try last thurs night we couldnt drive for more than 15mins and had to come home).  No hospital will admit him - not serious enough for them.  Im hoping to we can get an angiogram done - at least they can assess the circulation.  Have any of you had this done?  If so, what were ur results?  We have two beautiful little girls and my husband has just about quit his great job and quit on us......I wont let him though!!!  Im saddened to read that this has happened to sooo many of you....maybe I should be a Clinical Nurse Consultant on men's health - god knows the world needs it.
I'll try and keep you posted to see if anything we find out might help you guys. Take care...breathe....

From K
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Avatar universal
To very worried and all:

I have not posted yet, and have also expereinced the same symptoms as all of you.

I am also confused as to how it happened. I assume it was the jelqing techniques i used on my penis way back but my symptoms seemed to have come out of nowhere.

Anyway, I am 22 and this happened to me back in april of '09. To put a long story short, i have been to hell with this and have contemplated suicide too many times as im sure some of you have.

BritBloke I would like to thank you for your post. I actually saw a urologist (the 3rd one) and asked him to perscribe me Uroxatral like you said. While my penis is not at all back to normal, I have definitely experienced an improvement. I am not in as much discomfort as I was and I feel like I can live much easier. Britbloke I cannot thank you enough. I have more feeling down there and hangs more like it used to.

I take L-arganine and ginko supplements as well. I have been on the uroxatral for about 6 weeks now.

Also, my syptoms still change day to day. One day it may be semi-close to normal and the next it will seem almost very tight and small at the tip with less feeling. I found wearing compression shorts helps me not think about the discomfort as much

Please share anyadvice that will help the symptoms. Thank you again britblok.

VeryWorried, realize that you have this condition and telling yourself the same story in your head about how terrible and unlucky you are will not do you any good. Accept the present moment for what it is and you will able to make it through on day at a time.

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Avatar universal
Ughh, I can't believe this kind of thing has happened to me. I am a 21 year old college student and I should be in the prime of my sexual life! Instead, I suffer from the exact same thing the rest of you men suffer from. This is the first forum I have ever been a part of and its about ED. Lord Almighty WTF.

I must say I probably brought in on myself. I have never had sex, but I used to masturbate all the time. About 2-3 times a day or so, since I was about, I don't know, probably 13 or so. That is alot of wear on my little guy, you know? If I calculate it out 2 times a day*365 days*8 yrs=5840 times! That is pretty significant.

I have the same exact symptoms as everyone on here, except I have never experienced any kind of injury and am in great shape. I don't have a girlfriend, but there is a girl I seem to really like and I think she could like me back. This condition scares me. I have not told her about it, of course, and I believe that if she were to know, she would be completely turned off and just go out with some other fella. How could my sex life be over before it ever actually began?

Some of my more unique symptoms besides the stiffened flaccid penis are: lack of libido; almost no morning or spontaneous wood; and a feeling of disconnect between mind and penis that some other guy went into detail about.

I feel as if the physiological symptoms could be coupled with a skewed view of the 'average woman' from watching too much porn. I feel desensitized to attractive normal women. I can maintain a somewhat less powerful erection when I watch porn, but I feel as if I should not watch it anymore. I used to do it all the time, but now after I'm done my penis shrivels to about the size of my thumb.

It really is tragic; I don't believe in God, but I do sometimes think this some form of cosmic justice for objectifying women or something. I'm glad I ran into this forum, but I don't think that one person in here has been cured completely, or so it seems. I would like some feeling of hope! I'm already a worry wart and don't feel as if I need this in my life right now.

To the Brit guy that says that he has almost achieved normalcy: I'm an aspiring personal trainer and can't just give up working out. It's part of my life! I have been taking the Mega Men Virility pack and just recently purchased some ginkgo biloba, but it seems as if these things don't seem to cure it from what I've read.

I haven't told anyone about this except all of you. I feel so lonely. I feel like I'm a horrible person because I used to rely so much on hardcore pornography to get off. My father died my senior year and I have no one I can talk to about this. Friends just laugh and make jokes; they don't understand how horrible this is because it's not them! I feel as if going to a doctor would be worthless; none seem to help except those Harley Street(?) specialists, some of you mentioned.

Damn my masturbation!

Ya know, it's kind of ironic. You hear everywhere that masturbation is normal. I had never heard that excessive masturbation could lead to erectile dysfunction. They don't teach that kind of thing in sex ed.You do hear that masturbation helps relieve stress and relaxes you. People do say chronic masturbation is detrimental but they don't tell you why. Dammit, I feel as if I almost deserve this in a way. I've never treated a woman poorly, but I can't help but feel as if this is punishment for masturbating excessively.

I just want to go back to thinking that I had a pretty awesome and normal penis. I hate the worrying. Maybe I should see a shrink because I'm really freaking out here.

My father died at the age of 59 my senior year of high school from a obesity/diabetes related cardiovascular condition shortly after he underwent bilateral knee replacement. He weighed 365 lbs. I too was getting up there at 255 lbs. Since then, I myself have lost 65 pounds by changing my diet and exercising regularly. I never took any shortcuts; I felt that you have one thing in life that's for sure, something you can partially control. I thought that was my health. I thought for so long that, as long as I didn't get hit by a bus or fall down a well or something. I could live to be 85 or something because I keep myself in very good shape and I do it the right way. Now this...

My whole idea of being able to control my health has flipped completely around. I will continue to work out, but now I feel as though I have no control over anything. My penis used to be the last of my worries and now it is my number one concern. I am completely distraught and I don't know what I should do. Someone please say something helpful or comforting; I'm about to go over the edge over here. You guys are all I've got in terms of a support structure!

Thank you very much to anyone who actually took their precious time reading this. I know I was very long-winded and more than a little scatterbrained. I just had to get all that off my chest. It's basically all of what I'm thinking right now in a nutshell.
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Avatar universal
Hey brother. I think what you have is all related to your pelvic muscles. You see, when the muscles in your pelvis are overworked, they tighten aggressively and begin to remain that way until they are taught to relax again. When these muscles are tightened your penis is pulled toward your body. The pelvic muscles are also unique in that they react to almost every bodily function (sneezing, coughing, laughing, breathing, arousal, urinating, depression, anxiety...etc). This means that they are going to continue to be strained without action on your part.
Obviously depression makes the situation much worse as specialists have told me that "the greatest sex organ is the brain".
You should look into physical therapy and really really should read this book: "A Headache in the Pelvis".
I myself am getting better. I used to have the problem you do, but have sense been rid of it. I'm not 100% better at all, but I'm in the right direction and significantly happier. Good luck.
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Avatar universal
i agree with u...i am suffering from the same condition.. don't know what it is...

it becomes tight, and retracting inside the body....I am afraid if it could be some sort of infection on injury...since i never felt any pain or sensation...so i have no clue what it is and the urologists i have met are totally clueless about the situation.
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Avatar universal
I had this approx 9 months ago, triggered by 'overuse' as it were, similar to yourself (see my previous posts). There was a period where I suffered from the hard flaccid, reduced size, constant ache, inability to get full erection (and it looking weird, and slightly mishaped when I could as though not fully inflating all along).

If it gives hope after a tortuous journey I'm now in a place where I'm sure to anyone who doesn't know my penis as I do, it looks normal and now functions okay again, although things aren't quite the same (still a little firmer flaccid and approx 1/2in shorter when erect than was before, but it doesn't dominate my life the way it did for several months.

I saw various top specialists including at Harley Street and had various tests/scans the upshot being no identifiable tissue/veinous/structural damage - clearly this is a more low level (yet equally problematic and alarming) sort of damage and at the moment is not classified as one of the 'classic' male problems. I'm sure everyone on here is sure that in time someone will define this as a recognised condition and set out the best treatment for it - let's hope as soon as possible.

The key thing in my mind which helped was things which stimulate ongoing blood flow down there (Xatral, or perhaps Flomax which I think is now available OTC), Ginko supplements, I was on Cialis for a period of about three months (low dose 2.5mg, to ensure regular erections tough this is v expensive if your GP won't prescribe and like me I had private prescriptions - circa £70 for 28 or months suplpy), regular warm wraps or baths.  I dropped things out of my diet which do the opposite - caffiene being a key one, and I also had to stop doing intense exercise - i) as it caused more pain and ii) as the adrenaline effect which normally shrinks your penis seems to have a much amplified effect with this condition (I've now been able to gradually get back into this as the worst passed)

There was a period where I thought it was 'the end' so don't despair.

I gradually came off the drugs about 3 months ago and now just have high strenght ginko supplements and more baths than I used to (I'm also eating goji berries a lot which are meant to improve circulation/libido), but as part of my strategy I ensure I get a couple of good erections for 5-10 mins a day (with only gentle stimulation and not going to orgasm) and limit myself to 1 or 2 actual sessions a week (which compared to the hell I was in, I would have snapped anyone's hand off had they offered me!)

I haven't been on this forum for a few months, so sorry if I ignored anyone's follow up to my posts, I really hope the above may be of help to you.

B
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Avatar universal
Has anyone experienced any sort of real recovery from this injury?

I've just begun experiencing this, it's been approximately 3 months now and I think I can link it back to a marathon masturbation session around that time. I assumed it was just a passing soreness but as the days tick by with no real recovery, I'm becoming more and more alarmed. I have the same symptoms. Hard when soft, and for the most part soft when hard. I do experience half strength erections, but these are slightly painful during sex. When flaccid there is a slight ting of pain that is constant, and a more noticable pain when slightly squeezing on the shaft.

I stumbled on this thread weeks back and have begun taking Vitamin E, Ginko Baloba and some of GNC's megamen vitamen packs for performance and vitality. I've only been taking this for approximately a week, and haven't noticed any recovery yet, I do know that at the very least the Ginko will take multiple weeks before I'll notice any difference. I plan on seeing a Dr/Urologist, but am currently waiting for insurance from a new job I started to kick in.

In the mean time, based on what I've read in this thread, it's sounding more and more like this is a life changing, erection killing situation. Someone, anyone, tell me of the positive results you've had. I'll be sure to provide any updates I can as time passes regarding this issue.

-RecentlyConcerned
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Avatar universal
Here is what I found online. The title was "5 things you don't know about your penis".

No. 4: You Can Break Your Penis
There is no "penis bone," but you can break your penis all the same. It's called penile fracture, and it's not a subtle injury. When it happens, there's "an audible pop or snap," Montague says. Then the penis turns black and blue. And there's terrible pain.
Penile fracture is rare, and it typically happens to younger men because their erections tend to be quite rigid.
Here's how to avoid penile fracture: don't use your penis too roughly. A common way that penile fracture happens, Montague says, is when a man is thrusting too hard and fast during sex, and slams into his partner's pubic bone. Also, a woman who moves wildly while on top of a man during sex can break a man's penis.
Peyronie's syndrome is a related condition that tends to show up more in older men, Montague says. An older man's erection may not be as rigid, but still is hard enough for sex. Over time, if the penis bends too much a certain way during sex, small tears in the tissue can form scars, and the accumulated scar tissue gives the penis an abnormally curved shape.
Not all penis curvature is a problem, however. "There is a lot of variability in what normal is," Cummings says.
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Avatar universal
I have this problem too!  I get strong erections though.

I think everyone's similarity is that we all had some event that occurred which made our penises like this (either injury, over exertion, mental, drugs).  

Mine was after I masturbated 16 times in one day and I overdosed on amitriptyline (and I couldn't get hard for a week) and I also put myself in a coma for 2 days and was severely dehydrated.  I am doing jelqing exercises to improve blood flow and wrapping it up in a warm towel at night time and they seem to be helping.  I get horny all the time and have strong erections though unlike many on here.  Then again I am taking Wellbutrin XL which has been making me horny like crazy and I think Jelqing helps with erection strength.

The people who say they have erection problems may be having erection problems because they feel bad about their flaccid penis. and insecure.  This will affect erections and then when you see your erections less strong that just feeds into your insecurity.  Point is the size of the flaccid penis isn't the big deal.  

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Avatar universal
Hi everyone, I am 34 and have been suffering this hard-flaccid problem for about a year now, completely destroying my sex life in the process.  So glad I've found this post.

Let me be clear I have never taken amphetamines or ecstasy so you can rule those out as a direct cause (although there could be indirect causes due to metabolism of drugs). I have also never had any back problems, stopped smoking 7 years ago and drink no more than 3-4 pints a week.  A recent blood test confirmed I do not have diabetes nor any hormonal or other blood-related issues, save a slight issue with cholesterol which I am actively trying to control.  

I am quite drug averse so am very hesitant in taking alpha-blockers or other medication as I'm keener to address the root cause of the problem.  I find abstaining from sex or masturbation for 4-5 days makes things slightly better (the longer the abstinence, the better the results), but this is clearly not a satisfactory solution for the long term.

In hard flaccid state my penis appears to have a lost a lot of it's previous bulk (feels very light and thin).  Erections are rarely satisfactory being perhaps 25% full in terms of duration and 75% full in terms of size.  Sex drive is very low.

If I 'shake' my penis in hard-flaccid state gently - thereby forcing blood to enter the penis via centrifugal force - it appears to alleviate the hardness temporarily - bulking up to 'normal' size and weight, but goes hard-flaccid again within a few minutes.  This tends to rule out i) any neuropathic condition (such as associated with diabetes) affecting the sympathetic/parasympathetic nervous system around the penis, and also ii) hormonal issues such as related to adrenaline/noradrenaline levels.

My testicles and my glans are also frequently cold to touch, even in a hot environment, which together with the hard inner shaft feeling as if it has been constricted, and the alleviating affects of shaking the penis as suggested above, leaves me to conclude (without any medical expertise) this is a bloodflow/arterial issue.

The only I can think of atm is possibly arteriosclerosis.
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Avatar universal
Isn't there a surgery you can get to remove the cremasteric muscle?  The cremasteric muscle is whats pulling your scrotum up to into your inguinal canal, so maybe getting a surgery to remove or make that muscle less active could be the solution.
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Avatar universal
I also have similar symptoms. A while back I took some herbal supplements for enlargement. This seemed to cause the skin of my penis to be red in patches during and after erections. So I stopped using the supplements and decided to do the stretches n exercizes. Now I still have the red skin issue and the hard when flaccid problem. From doing the stretches I basically  exploded one of the veins in my penis. The vein is now hard and bulged when im errect making me think that it is blocked.

I think that you all are having a circulatory problem. The reason its difficult to diagnose is because its either a partial blockage of one or more veins or capillaries. Im not sure yet how to cure this yet, but knowing this will help a urologist help you.

I also had an injury to my left testicle a while back and have a hard bump in my vas deferens.

Those of you that are taking anti depressants.  Many men who are diagnosed with depression are treated wrong. I also took anti depressants for a while. they helped but didnt get rid of it. depression in men is more commonly caused by a lowered testosterone level.  Getting your testosterone level back to normal will get rid of ED as well as depression.

My testosterone levels were thrown off because of a testicle problem which has yet to be diagnosed. (after ultrasounds) Test. is produced in the testies. So I urge all of you to have your hormone levels checked. Most drs will only do this when you ask they wont do it during a normal blood test. not sure why? There are natural ways to bring test levels back up which work for me i can now work out again and im putting muscle back on. A low test level will cause you to put on fat and lose muscle.

Ginko Biloba is great for depression and will even help with ED.
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Avatar universal
yes they are painful for me..  i first had these veins and now firm flaccid state and a feeling of a stiff band surrounding my middle of shaft. i have hourglass shape erection when i am semi flaccid and it feels that area is more flat now when it is erect.

did u get these due to violent use of penis?? some excersizes or something similar??


also i advice everybody here to massage it with vitamin e. i first had this 2 weeks ago this rigidity and it was awful. as the weather was colder whenever i go out it had pain like hell and when i go in and check it in bathroom head was almost all white and no blood flow going there. but after vitamin e massages now it is not hard flaccid any more.. still i feel the hardness but it is not so like squezed from middle any more.

i think all these are caused by an internal plaque or scar tissue. so u should try to solve them with some heat massages and vitamin e creams.

also while i was searching i found out that verapamil cream can also be effective but they say it is expensive cream. didnt check its price yet.
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Avatar universal
anyone notice any red or blue spider vains on penis
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Avatar universal
for months i was looking for another kind of solution for my penis injury but in the end i started having similar things as u said.

i was doing kegels and jelqing before the time i injured my penis. and i had painfull varicosed veins for months. and recently i realised that my thing is much smaller when it is flaccid. in the middle of shaft it is like someone is squezing and head seems in the same size so it looks weird. also i realised that my thing is getting first erect in the root, middle again like squezed and after 5 seconds it comes to its natural size. this looks awful!

i cudnt cure my varicose veins and pain in the area. and now i started to have these..

i have one question to all of u.. did u have this after violating your penis or it just happened?? i know i had been masterbating a lot since i am 13. and now 25. but what put me in this situation was penis excersizes.. i wud be happy to hear from you.
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Avatar universal
i recently started taking 1 mg of doxazosin(alpha blocker), and 1000 mg of flaxseed oil twice a day, and it has taken part of the issue for the most part, on occassion i will still have a hard flaccid penis, but it does not shrink nearly as much as used too, but overall im satisfied with the results
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Avatar universal
yes i also feel a tingle sensation in my penis from time to time, but my testicles still sag and hang low alot.  my penis is still cold alot, and im feeling when its flaccid its hard inside. this all happened after i took finasteride, im only 21 years old. so worried mom is ur son on propecia(finasteride)?  

would any of these conditions show on an ultrasound or xraY? (peyronies disease, priapsm)?

and young i also when stimulate my penis a little the hardness goes away. only when its at its normal flaccid state does it get hard inside. also when my penis is erect its much more narrow than it used to be.  
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Avatar universal
Britbloke great news that you are making progress. Was wondering what the name of the harley street specialist was as I am suffering badly from similar situation to you?
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I came across this recently and thought it was a good read:

http://cure-erectile-dysfunction.org/firm-flaccid-penis

"You have to BOOST your prostaglandins E-1/E-3 and Nitric Oxide (cGMP) release from the adjacent healthy erectile tissues to soften the collagen scar or prevent collagen scar formation (it will also heal the damaged penile erectile, elastic tissues, nerves and blood vessels in the tunica albuginea and its sheathing spongy corpus cavernosa). A good way to do this is by using right combination of amino-acids, herbs, and vitamins & minerals."

I'm going to try a combination of a men's multivitamin, 5-htp tablets, omega-3 fish oil, l-arginine and ginkgo or ginseng.  I'll keep you all updated.
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Avatar universal
hi everyone. i ve been reading about this problem for last 6 months and i ve never found any real photos of such condition. so shortly i ll show u photos of my "problems" and would be glad if someone could tell me smthing about it or if someone has the same problem.just tell me if it looks like those photos i ve made.

my main symptoms are: when i was 17 years my foreskin was pulled back and uncovered whole head of penis for the first time. since then i started to feel something strange about it. it started to shrink,or retract (whatever its called) almost everytime while i ve been doing some sports or when it was exposed to coldness. it also feels hard and cold even in flaccid state sometimes. sometimes it retracts so much that its almost childs size and even hurts. today,after 3 years it retracts almost always expect when i am in bed or sitting in warm. i ve visited doctor,he told me should wash it and everthing else is normal cause of difference in circulation on cold and warm,also at rest or exercising. i know the story about increased / decreased blood flow in penis depending on wheather and exercising but i told to doc that its simply to extreme shrinkage in my case. he said nothing. so,i ll send u friend request that u can see my photos. i would be greatful if anyone tell me should i worry about it or any comment. p.s. i ve no any urinating or sexual or erecting problems.only rarely feel loss of sensation when its in shrink state.  tnx guys
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