Erection question

[merrimack1895]

First of all I want to thank you for this amazing resource. It has been a huge help during my ordeal. I suffered an injury from a fall which severed my urethra in early June. I am now 4 weeks post-op and am just beginning to feel like myself again. My question is about the new angle of my erection. The surgeon had to remove about an inch from my urethra to make the repair and now my errection points downward substantially. If I try to push it up at all it feels very tight, and slightly painful. I have been very careful so far, not wanting to cause any damage to the surgery sight. I am worried that this angle will make intercourse less pleasurable if not painful for myself and my wife. Have any of you dealt with this, and us it something that gets better with time? I’m counting down the days until I reach the magical 6 week mark, but am worried that this will be a large hinderemce to my sex life going forward. Any insights would be greatly appreciated.

• This topic was modified 4 years, 9 months ago by merrimack1895.

[marker]

Merrimack,

Are you sure it was a whole inch that was removed? How old are you? That seems very aggressive. I’m no doctor, but I just had my consultation with a reconstructive surgeon (Dr Lee C Zhao at NYU Langone) and he made it clear to me a buccal graft would be necessary due to the location and possible length of my stricture. He advised that if they did attempt an end-end procedure (cutting the damaged part, then reconnecting) I would run across other possible risks, and I’d imagine what you described above as a possibility.

I would discuss with your Dr, there’s also a strong possibility healing isn’t complete. 4 weeks post op isn’t a very long time for recovery, based on what I am reading on here. I’ve read somewhere that 6 weeks is the benchmark for sexual activity, but it’s taken others even longer (up to 5 months) so you might want to consider that as well. I’d give it another full month or two before really worrying. it’s a bit out of you control anyways, so just stay calm and hope for the best, try to get your mind off of it all with reading or music maybe.

[JohnB]

My erection size and angel post-op changed but after 2 months went back to normal.

[mattbl]

Merrimack, how are you doing now?

I’m actually at the 4-week mark post-surgery and have yet to gain an erection. I have a lot of numbness on the front of my scrotum extending to the base of my penis. Maybe a little numbness in the frenulum but none in the glans as far as I can tell so far.

I had a traumatic fall almost four months ago that crushed my urethra, but still was able to get erections maybe 1-2 weeks after the fall. I lost fullness in my glans during erections; the surgeon explained the blood vessel feeding the glans runs through the perineal area and was probably crushed as well. But otherwise my shaft filled like normal (I guess those blood vessels run through a different area).

The surgeon actually told me I was getting erections during the surgery, too. I laugh thinking about the entire surgical staff being around while I’m at full attention.

Anyway, now I’m having issues with it. During the first few weeks, multiple times a day with no mental/physical stimulation I could feel what I can only describe as blood trying to flow into my penis, but nothing would happen. That’s subsided as I’ve healed, but still happens now and again. Since I’ve had the urinary catheter out, I’ve had a few “chubbies” but that’s about all. Each day I give it a shot, and it seems like I can get a little more full each time I try. I’ve gone from literally nothing happening to getting about 25% there at best. I can feel blood flowing at least in the area but it just doesn’t happen. I’ve woken up a time or two now with something more than nothing, as well.

I’m going to keep giving it time and may have to look into ED medication once I hit the 6-week mark.

Just curious to hear more about the experiences of others.

[Adam dakak]

The quality of erections get better over time. As one mentioned, it can take months. As far as ed meds, my point would be if you are able to have erections naturally, then you shoudnt need the meds. My confidence took a huge blow following my surgery but in the end for me it was in the mind.

Make no mistake though pending the type of surgery there can be lasting effects. I had my 1st surgery in 2009 and i have lost some sensitivity to sex. In 2017 i had a buccal graft and the doc opened my scrotum. Still to this day i wear underwears that hold everything in place. I get a mix of numbness and overactive nerves. It may never get back to normal. I wish you a quick and satisfying recovery

[mattbl]

Thanks for the reply. Even since my last post I’ve been getting a bit more of a partial erection each day. I’ve woken up a few times half-mast. I’ve decided to just leave it be until the 6-week mark (9 days to go…).

I think it’s an interesting point about the ED medication. That was actually recommended by one of the urology doctors, she said some men need it for up to a year. But your reply makes me think I just need to be patient with it, as difficult as that can be.

Thanks again.

[Adam dakak]

And as you mentionned in your post you were having erections during the surgery. So even under the knife you mechanically got erections.

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