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Question
I had a severe penile fracture with eggplant deformity almost 3 months ago.  I underwent surgery to repair 24 hrs after injury that involved degloving and sewing up the tear.  No urethral injury.  3 months later I have these observations:

- an erection is much harder to achieve
- erection is weaker and not strong enough for intercourse
- penis size appears smaller but I think that is due to weaker erection
- there is still pain in penis when touched

Is the penis fully healed at this point or is the above part of the healing process?
I assume weak erection is better than nothing but what can be done to return to normal erection?

I realize you did not operate and can't examine but Please let me know your thoughts.

Answer
Ray:

Most likely the penis is mostly healed but may not be completely healed from such an injury.  I would wait another 3 months before looking at treatments to improve the erections.  Waiting 24 hours after the injury may also have helped diminish your current erections. The fact that there is still pain strongly suggests there may still be some healing to do.  Talk to your urologist about options to consider at this point.

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Stephen W. Leslie, MD

Expertise

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

Experience

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.

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

Publications
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.

Education/Credentials
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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