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Question
Dr.

Ok Thanks. In your opinion how big of an injury to a flaccid penis could create a venous leak or damage. Like i said, several months back i hit it on the tank of a motorbike going from very slow 5mph to abrupt stop. it hurt for 20 min and was mainly right above the penis, there was no bruising or swelling and I was able to obtain a full erection within the following hour. A couple weeks after I had sex with no problems and have had sex since then many times but i lost the erection a couple times out of many encounters. I tend to be anxious and paranoid.  I've also have been able to get hard erections without any physical touching.  Never have had a problem with masturbation. I asked another urologist, and he told me about performance anxiety. He also said it would take a major injury to create any dysfunction. Thanks again.

Answer
Ron:

There is no way to quantify the amount of damage necessary, but your urologist was correct in that it would likely take a very significant injury.  The only significant point is whether or not there is a problem.  And what is this thing about venous leak?  The only critical issue is whether or not things are working.  There is no specific therapy for venous leak, so why does it matter?  Losing an erection occasionally is fairly conclusive proof that you DON'T have venous leak.

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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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