Hi,Dear,Thanks for your query to HCM. Dear I read facts of your query and reviewed it in context to your health issues submitted. I understood your health concerns and feel Concerned about them. You seem to have-Contused Pubis with Perineal Contusion with Bulbar Urethra and Prostatic Contusion with post-traumatic prostatic and bulbar edema. Possibility of pubic symphysis distraction / or fracture pubis needs to be ruled out by CT pubis and pelvis study. Contrast CT with bladder and bulbar urethra could be needed. Cause of pubic pain while tense and during erection is from sensitised and bruised prostate and bulbar urethra from Perineal Contusion from perineal trauma you had after the fall from height. Remedy -Consult Surgeon / Urologist and assess the damage with above angles. Plenty fluids Hot fomentation/ or Infra-red light locally to perineal area x1 week Tab Comibflam-1 x 2 times a day x 10 days Tab-Chymoral forte 1 x 2-3 time / day x 10 days Tab Ciplox Oz- 1 x 2 time / day x 10 days CT for Blood Clot assessment in perineal area. Aspiration of Perineal hematoma-if needed. Other causes of painful erection post-perineal injury needs to be ruled out. For this to verify Second opinion from Urologist/ Surgeon - would be needed. Just don t worry and be patient and co-operate with your doctors,till you verify with your attending doctors. Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard to following link- http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229 Wishing Good Healthy Life!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS