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Urology/ligament injury


Hello Doctor Leslie,

I talked to you a couple weeks ago about my ligament injury and I forgot that I had a few more ideas to discuss with you. I can't thank you enough for all your help, you have been a life saver.

1. The stiffness that is present when flaccid, is that similar to joint stiffness after experiencing a sprained ankle. Is the only difference in a penile ligament injury that the joint is your penis so that is the reason it becomes stiff?

2.My erections have improved as I previously mentioned, but they feel denser or weightier than before my injury. Is this something that will go away as the stiffness dissipates?

Thanks again for all your help, its much appreciated.


Joint stiffness relates to a specific anatomical joint and the surrounding ligaments.  There are no ligaments inside the penis; only around the base.  There are no bones, no joints and no joint space so the reasons are different.  The penis becomes hard due to an influx of blood and increased hydrostatic pressure in an enclosed area.  This is obviously not the same process that occurs in joionts.

I cannot say whether or not your sensation related to erections will change or improve over time.  Most of the time, these do tend to improve slowly but there is no guarantee.


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Stephen W. Leslie, MD


Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.


Full time practicing urologist with 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.

American Urological Association, Ohio State Medical Association, Sexual Medicine Society

Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.

Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison.

Awards and Honors
Thirlby Award of the American Urological Association. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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