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Physical Perineum/Pudendal injury
The following is a story of my personal--horrible-- phalloplasty experience. I'm writing because I really need some help recovering from a post op injury.
10 years ago, I suffered an injury to the perineum by stretch my penis with a 10 lb weight. The injury occurred 9 months post-op PE surgery. The surgery must have extended me to a point where the perineal body was in danger of pulling..
One day after 6 months of no visual gains from stretching, I gained nearly 1/2 inch. I should have quite while ahead, or seen the possibility of danger but alas did not. The next day, as soon as I put on the weights, an unusual--uncomfortable but not painful--pull was felt at the perineal junction between my bulb. cavernosous and *******. The months that followed consisted of strange sensations of shifting muscles, tingling sensations, tightness, swelling, shooting anal pains, and mild hemorrhoids.
10 years later, I am experiencing the same discomfort to a lesser degree(which are exacerbated following orgasm). The angle of my erections has shifted down 20-30% and my erections are much weaker (they used to be seriously strong). Especially when standing, I can feel extreme tightness in the area while engorged. Sitting forward seems to cause the now too familiar tingling sensation. The associated perineal muscles are perpetually taught and ridged to the touch. The doctor asked me to start stretching again (mildly), and after just the lightest session possible, I still ended up aggravating the injury.
Any insight would be very appreciated. What might the true problem be after so long? scare tissue? inflamed pudendal nerve? nerve damage? Are their any possible solutions? Are cortisone injections a good idea?
Thanks.
10 years ago, I suffered an injury to the perineum by stretch my penis with a 10 lb weight. The injury occurred 9 months post-op PE surgery. The surgery must have extended me to a point where the perineal body was in danger of pulling..
One day after 6 months of no visual gains from stretching, I gained nearly 1/2 inch. I should have quite while ahead, or seen the possibility of danger but alas did not. The next day, as soon as I put on the weights, an unusual--uncomfortable but not painful--pull was felt at the perineal junction between my bulb. cavernosous and *******. The months that followed consisted of strange sensations of shifting muscles, tingling sensations, tightness, swelling, shooting anal pains, and mild hemorrhoids.
10 years later, I am experiencing the same discomfort to a lesser degree(which are exacerbated following orgasm). The angle of my erections has shifted down 20-30% and my erections are much weaker (they used to be seriously strong). Especially when standing, I can feel extreme tightness in the area while engorged. Sitting forward seems to cause the now too familiar tingling sensation. The associated perineal muscles are perpetually taught and ridged to the touch. The doctor asked me to start stretching again (mildly), and after just the lightest session possible, I still ended up aggravating the injury.
Any insight would be very appreciated. What might the true problem be after so long? scare tissue? inflamed pudendal nerve? nerve damage? Are their any possible solutions? Are cortisone injections a good idea?
Thanks.
MEDICAL PROFESSIONAL
My comments are based on reasoning out what may be happening. I have not seen or read about the situation that you relate to me.
The surgery which you had would undoubtedly change the angle of your shaft, especially when flaccid (for that is how the additional length is initially achieved). I do not see your surgery affecting the rigidity of your erections.
The real issue if obviously your discomfort. I guess that the sudden increase in length was the result of the separation of some of the supporting tissues of the erectile bodies (corpus cavernosa). That you should have the long term discomfort which you describe makes me think that you have been re-injuring the area, maybe just the forces of sexual activity are enough to cause problems as your penis is not as well stabilized as it once was.
I would not recommend that you have cortisone injections nor would I recommend oral cortisone. I would suggest a non-steroidal such as ibuprofen (if you can tolerate the medication) for 2-4 weeks and a mild tranquilizer/muscle relaxant such as Valium (or Librium, if Valium makes you sleepy) for several months. During this period, I would not want you to be sexually active. I do not care about orgasms, it is the manipulation of your penis that I would want you to avoid.
Good luck!
S.A.Liroff, M.D.
P.S. I would be interested in hearing how you respond to whatever you and your urologist choose to pursue in treatment.
The surgery which you had would undoubtedly change the angle of your shaft, especially when flaccid (for that is how the additional length is initially achieved). I do not see your surgery affecting the rigidity of your erections.
The real issue if obviously your discomfort. I guess that the sudden increase in length was the result of the separation of some of the supporting tissues of the erectile bodies (corpus cavernosa). That you should have the long term discomfort which you describe makes me think that you have been re-injuring the area, maybe just the forces of sexual activity are enough to cause problems as your penis is not as well stabilized as it once was.
I would not recommend that you have cortisone injections nor would I recommend oral cortisone. I would suggest a non-steroidal such as ibuprofen (if you can tolerate the medication) for 2-4 weeks and a mild tranquilizer/muscle relaxant such as Valium (or Librium, if Valium makes you sleepy) for several months. During this period, I would not want you to be sexually active. I do not care about orgasms, it is the manipulation of your penis that I would want you to avoid.
Good luck!
S.A.Liroff, M.D.
P.S. I would be interested in hearing how you respond to whatever you and your urologist choose to pursue in treatment.
Some feedback would be very, very much appreciated.
And ******* = "anus" (they bleeped the colloquialism I used)
Cosmetic Penile Enhancement (PE)- 4 pelvic ligaments are cut, penis is extended outward, and ligaments are re-attached. This is followed by stretching with weights (ultimate source of injury) to sustain/increase gains. Fat was also transplanted from the abdomen for girth (unrelated to injury).
Thanks.
Thanks.
MEDICAL PROFESSIONAL
Please explain your term "PE surgery?"
S.A.Liroff, M.D.
S.A.Liroff, M.D.
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