Urology

Have Urology Questions? Ask a Urologist Online.

Ask a Doctor,
Get an Answer ASAP!

I suffered penile trauma during the act. Ever since I've had…

Customer Question
I suffered penile trauma during...
I suffered penile trauma during the act. Ever since I've had discoloration & weakness & a bend on the right side. I have seen a urologist and he diagnosed it as Peyronies disease, then I saw a second and he said it's a penile fracture. I can live with either/or. The discoloration is in patches, and I can provide pictures of the condition. It's driving me crazy. Blood is probably trapped in the penis (high flow priapism??). The left side is overly sensitive, while the right is not at all. I have trouble urinating now. It is never a straight stream, always two streams or three. The sensitivity on the left side of my body is too much.
Submitted: 8 months ago.Category: Urology
Show More
Show Less
Ask Your Own Urology Question
Answered in 9 minutes by:
9/22/2017
Urologist: Dr. Arun Phophalia, Urologist replied 8 months ago
Dr. Arun Phophalia
Category: Urology
Satisfied Customers: 38,089
Experience: MBBS MS (Surgery) Vast experience and routinely perform all urology procedures including endoscopy.
Verified

Welcome to Just Answer.
Answers here are for education and information.
I will respond shortly with an answer, or further information request.

Ask Your Own Urology Question
Urologist: Dr. Arun Phophalia, Urologist replied 8 months ago

Tony,

Are you sure; penis snapped during intercourse?

Please provide pictures?

Ask Your Own Urology Question
Customer reply replied 8 months ago
I'm trying to add more pictures...I have a bunch
Urologist: Dr. Arun Phophalia, Urologist replied 8 months ago

Okay. Thanks.

If you get a phone call request, you may ignore it as that is an automated site trigger. Thank you.

Ask Your Own Urology Question
Customer reply replied 8 months ago
https://penisguy6669.imgur.com/all/
Customer reply replied 8 months ago
Did you get the pictures?
Urologist: Dr. Arun Phophalia, Urologist replied 8 months ago

It says images failed to upload.

Ask Your Own Urology Question
Urologist: Dr. Arun Phophalia, Urologist replied 8 months ago

I could see the picture which you directly uploaded.

Ask Your Own Urology Question
Urologist: Dr. Arun Phophalia, Urologist replied 8 months ago

My initial answer is;

Go to a urologist working at an hospital attached to the medical school. He needs to do;

1) A colored doppler study to assess the blood flow.

2) Nerve conduction velocity study to assess the nerves.

These will ascertain the damage.

These would determine the course of the treatment.

A surgery may or may not help you.

If there is a scar; there are various treatment available, which can decrease or resolve the bending and discoloration.

Ask Your Own Urology Question
Customer reply replied 8 months ago
https://imgur.com/a/btqBF
Customer reply replied 8 months ago
Here is an album I just created with the pictures. Hopefully it works this time.
Urologist: Dr. Arun Phophalia, Urologist replied 8 months ago

Yes, now I can see them.

Please allow me some time and I will get back to you.

Ask Your Own Urology Question
Urologist: Dr. Arun Phophalia, Urologist replied 8 months ago

I saw all the pictures.

Is there significant pain or bending on erection.

Can you perform sexual intercourse?

Ask Your Own Urology Question
Customer reply replied 8 months ago
There is slight bending to the right, however the urologist didn't feel any plaque. It feels mid shaft right side like some serious trauma happened. I can perform sexual intercourse, but my libido has dropped. sensitivity on the right side has dropped significantly. The left side feels overpowered.
Urologist: Dr. Arun Phophalia, Urologist replied 8 months ago

Thanks Tony.

You may get the investigations we discussed.

At this point of time, you may be conservative about the treatment. Following oral therapy may be tried for at least 6 months.

1) Vitamin E

2) Colchicine

3) Potassium aminobenzoate

4) Tamoxifen citrate

5) Carnitine

6) L-arginine

7) Pentoxifylline.

My recommendation would be Vitamin E and L-arginine.

Avoid any invasive treatment like shock therapy or any injection.

It is privilege assisting you.

Ask Your Own Urology Question
Customer reply replied 8 months ago
that's it? And if it doesn't improve? What is it?
Urologist: Dr. Arun Phophalia, Urologist replied 8 months ago

I am sure this would improve.

There is a scar tissue; which does not have normal blood vessels and nerves. These should grow back in 6-12 months.

Avoid vigorous sex.

Once the tissue reorganize; the nerve and blood vessels would grow and near normal elastic and spongy tissue of penis should be able to regenerate.

There may be slight deficit remaining, but many times, it can be almost normal.

Was this helpful to you?

Ask Your Own Urology Question
Customer reply replied 8 months ago
It's been 2 years since this happened. So, I would suspect the scar tissue is permanent. I don't think this will be improving at all.
Urologist: Dr. Arun Phophalia, Urologist replied 8 months ago

Tony,

Any invasive treatment, disrupts the normal tissue regeneration. So this was the reason I mentioned, not to do any injection or shock wave therapy.

In last two years if any invasive treatment had been done; this may have affected the healing.

Our experience is that if you try to remove scar tissue by surgery, it further rebuilds.

So conservative treatment helps.

Ask Your Own Urology Question
Customer reply replied 8 months ago
Ok, I only did one partial treatment with the shockwave therapy. I had him stop midway because I didn't feel good about it. I've tried every drug under sun and nothing has helped. I've been taking the pentox for a while, the vitamin E. I'll try the other medications except the potaba. If it isn't too much trouble, could you explain why Tamoxifen citrate would help?Please tell me what these big uncomfortable red itchy patches are please? It's beyond irritating
Urologist: Dr. Arun Phophalia, Urologist replied 8 months ago

Tamoxifen citrate blocks the growth factor which may reduce scar growth and even resolve it.

It is privilege assisting you. Please let me know if you have further queries or unanswered questions.Please consider a positive 5 star rating if this interaction has been satisfactory, as this is the only way we experts are credited and compensated for the time and work. You are not charged again for giving a rating. The rating button is on the left upper side of this thread.Thank you.Wishing you all the very best in life.http://ww2.justanswer.com/help/how-do-i-rate-answer-hl
Ask Your Own Urology Question
Customer reply replied 8 months ago
Thank you. One last question if I may.Please tell me what these big uncomfortable red itchy patches are please? It's beyond irritating. Especially on the left side of the head?
Urologist: Dr. Arun Phophalia, Urologist replied 8 months ago

You are most welcome.

These are due to capillary leak which irritates the skin and initiate inflammation.

You may apply hydrocortisone 1% skin cream which is over the counter.

Ask Your Own Urology Question
Urologist: Dr. Arun Phophalia, Urologist replied 8 months ago

Just Answer is based on honor system. Experts are paid for time and expertise only when a positive rating is received.

Best wishes,

It was my pleasure to help you.
If I have answered all your questions, Please rate my response Excellent (click on the 5th star).
Please bookmark my profile for fast, reliable authentic answers!
This is the link to my profile:

http://www.justanswer.com/medical/expert-drarunphophalia/

Ask Your Own Urology Question
Urologist: Dr. Arun Phophalia, Urologist replied 8 months ago

Hope you consider a positive rating for my time with you.

Ask Your Own Urology Question
Was this answer helpful?
Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia
Dr. Arun Phophalia, Urologist
Category: Urology
Satisfied Customers: 38,089
38,089 Satisfied Customers
Experience: MBBS MS (Surgery) Vast experience and routinely perform all urology procedures including endoscopy.

Dr. Arun Phophalia is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me.

Susan O.USA

I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much

Corrie MollPretoria, South Africa

I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, OR

Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
I feel better already! Thank you.

ElanorTracy, CA

Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem.

JulieLockesburg, AR

You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions.

John and StefanieTucson, AZ

< Previous | Next >

Meet the Experts:

Dr. Y.

Dr. Y.

Urologist

20,150 satisfied customers

I am fellowship trained specializing in general urology and reconstructive urology.

Dr. Tharun

Dr. Tharun

Urology Resident

1,424 satisfied customers

MBBS, DNB surgery and presently working as Urology resident towards the degree of Urologist.

urologyguru

urologyguru

Urologist MD

1,088 satisfied customers

I am fellowship-trained MD Urologist in active practice. I treat all types of cases from genital, cancer, urinary, stone and incontinence.

Dr Josh

Dr Josh

Physician

255 satisfied customers

General Physician, PGCSD

Ross

Ross

Urologist

62 satisfied customers

urologist

Dr. B

Dr. B

Urologist

62 satisfied customers

Trained in Adult and Pediatric Urology, Fellowship trained in Urologic Oncology.

Family Physician

Family Physician

Doctor

2,592 satisfied customers

Emergency Medicine and Family Practice for over 26 years

< Previous | Next >

Related Urology Questions
I have been seening a nephrologist for over a year now for
Hi. I have been seening a nephrologist for over a year now for lower gfr. I recently discovered that my urine cytology showed rare atypical uroeithelial cells favor reactive. This was never mentioned … read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
8,198 satisfied customers
For years I've struggled with addiction to the point of
For years I've struggled with sexual addiction to the point of endangerment of other people and myself. I've tried every intervention possible, group therapy, years of one on one counseling, 12 step p… read more
Dr Stan
Dr Stan
DO
3,174 satisfied customers
I have been dealing with frequent urination and I don't a
Hello. I have been dealing with frequent urination and I don't a lot of liquids during the day. I have tried increasing my water intake during the day but it doesn't help. I have tested negative for p… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Urologist
38,089 satisfied customers
I was diagnosed with urethral stricture and has urethrotomy
I was diagnosed with urethral stricture and has urethrotomy with mitomycin injection. I had chronic pain and dysuria with weak urinary stream prior to procedure. Today is my post op day 10. My stream … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Urologist
38,089 satisfied customers
I was diagnosed with urethral stricture and has urethrotomy
I was diagnosed with urethral stricture and has urethrotomy with mitomycin injection. I had chronic pain and dysuria with weak urinary stream prior to procedure. Today is my post op day 10. My stream … read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,191 satisfied customers
I asked this yesterday. But it's still happening. I am
I asked this yesterday. But it's still happening. I am taking Keflix for a uti. I am so naseous and depressed. Day 4 out of 7. Is this normal. Will the side effects to away on day 7. How ling until I … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Urologist
38,089 satisfied customers
Is there a medication which reduces inflamation in the
is there a medication which reduces inflamation in the bladder? … read more
Medicaldoctor
Medicaldoctor
postgraduate resident,MD
Master\u0027s Degree
120 satisfied customers
Over the past 3 months i have had some foreskin issues, i
hello, over the past 3 months i have had some foreskin issues, i believe it was balanitis. my foreskin was cut around the edges and almost impossible to pull back, i have used triamcinolone which help… read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,191 satisfied customers
I seem to have grown a 3rd testicle and it is painful at
I seem to have grown a 3rd testicle and it is painful at touch. I had bloody urine a couple of weeks ago. I plan to vista a urologist. … read more
Dr SS
Dr SS
Doctoral Degree
12,327 satisfied customers
My husband has a catheter in due to an enlarged prostate
My husband has a catheter in due to an enlarged prostate blocking his uric his ureter. The catheter seems to be blocked and some urine is coming around the catheter and gushing out. Should he go back … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Urologist
38,089 satisfied customers
My husband two urine tests came positive with blood but the
My husband two urine tests came positive with blood but the third one was negative for blood. A week later, he finds out that he has some traces of red blood in his stools. What do you think?… read more
Dr Josh
Dr Josh
Physician
B.A.M.S.
255 satisfied customers
Does Interstitial cystitis always show during a cystoscopy
does Interstitial cystitis always show during a cystoscopy performed in a doctor's office with regional anaesthesia?Is it possible to have it but have a normal cystoscopy?… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Urologist
38,089 satisfied customers
For years now I have had these sharp pains in my penis and
For years now I have had these sharp pains in my penis and belly button. Almost like a spasm that goes away when j stretch it out and then it is gone for another months or 2 at a time. On this past Mo… read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,191 satisfied customers
I would like to know if I am a candidate for viagra. I have
Hi, I would like to know if I am a candidate for viagra … read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,771 satisfied customers
I had a UTI in April. Was treated with Macrobid for 7 days.
Hi. I had a UTI in April. Was treated with Macrobid for 7 days. Then diffuclan for yeast. After a week I started to feel sick...no uti symptoms..but full body sick ...bacterial. never felt like that. … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Urologist
38,089 satisfied customers
I started my first of 6 BCG treatments today. My Dr. advised
Hello. I started my first of 6 BCG treatments today. My Dr. advised on sexual contact, i.e. no intercourse for first 48 hours, then condoms thereafter. … read more
Dr. Nina Lim
Dr. Nina Lim
Doctor of Medicine
414 satisfied customers
Have Dhronic kidney disease (ckd) stage. Chronic stage
Had my aortic valve replaced Oct 2015 and have never felt that I have gotten my getup and go back.!!… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,771 satisfied customers
I have a growth on one testicle, it hurts and is painful.
I have a growth on one testicle, it hurts and is painful … read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
8,198 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x