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How Can Sexual Difficulties After A Penile Fracture Be Managed?

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Posted on Thu, 14 Sep 2017
Question: I injured my penis during sex about a year ago. It is bent and uncomfortable to have sexual intercourse.
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Answered by Dr. Bonnie Berger-Durnbaugh (1 hour later)
Brief Answer:
Peyronies' Disease from trauma

Detailed Answer:
Hello and welcome,

The penis can be fractured and that, or smaller trauma (not actual fracture) can produce scar tissue (Peyronie's Disease). The scarring causes a bend in the penis. For this you would need to go to a urologist for evaluation and treatment.

Depending on the degree of damage, treatment usually starts with an oral medication called Potaba (potassium para amino benzoate) or with pentoxifylline.

If that doesn't work, the next step is typically an injection into the scar tissue, to try to break it up. Medications used for this are collagenase or verapamil.

In severe cases the urologist may recommend surgery. With surgery, the scar tissue is removed and sometimes the penis is reshapen during surgery to not have the bend.

There are potential risks/side effects from any of the things mentioned above (the oral meds can cause temporary ED for example) and they are not always successful, but best to explore the possibilities with the urologist.

I hope this information helps.
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Bonnie Berger-Durnbaugh

General & Family Physician

Practicing since :1991

Answered : 3133 Questions

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How Can Sexual Difficulties After A Penile Fracture Be Managed?

Brief Answer: Peyronies' Disease from trauma Detailed Answer: Hello and welcome, The penis can be fractured and that, or smaller trauma (not actual fracture) can produce scar tissue (Peyronie's Disease). The scarring causes a bend in the penis. For this you would need to go to a urologist for evaluation and treatment. Depending on the degree of damage, treatment usually starts with an oral medication called Potaba (potassium para amino benzoate) or with pentoxifylline. If that doesn't work, the next step is typically an injection into the scar tissue, to try to break it up. Medications used for this are collagenase or verapamil. In severe cases the urologist may recommend surgery. With surgery, the scar tissue is removed and sometimes the penis is reshapen during surgery to not have the bend. There are potential risks/side effects from any of the things mentioned above (the oral meds can cause temporary ED for example) and they are not always successful, but best to explore the possibilities with the urologist. I hope this information helps.