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Hi there folks.

I suspect I have an injury to my penile suspensory ligament. I've been dealing with this nightmare for 10 weeks now, symptoms include 24/7 pain and discomfort at the base of the penis/right above it where it connects to the pubic bone, significantly affected erection angles and stability, painful erections, and scary pain when trying to lift my penis up vertically beyond a certain point. It feels like I have something torn down there, as if I had a deep paper cut. Sharp stabbing pain when aggravated, painfully dull and stinging otherwise. I believe this happened after a run of days where I was clenching my pelvic floor muscles way too intensely in order to help maintain my weak erections. The pelvic floor clenching would tug on the suspensory ligament and I would do it so the erection was both more vertical and so that I could last longer. I've gotten 1 pelvic MRI done and it allegedly came out clean according to the urologist and radiologist, who both said my ligament appeared intact. I've seen 3 different urologists and they've been of little help, have just told me to rest. I haven't had sex, masturbated, or so much as thrusted my penis since the injury but I believe night time erections and erections that have come from high libido at times have prevented healing and have probably kept making things worse. I have heard of Irwin Goldstein, Tariq Haaky, David Ralph, and Gideon Blecher as possible doctors I would have to fly over to to get surgery, the latter 2 apparently being the most renowned for PSL repair surgery with sutures.

I'm wondering if anyone here has experience with this or if anyone has had the repair surgery done by someone like Dr. David Ralph in London for example. I've made an appointment with him already but it's still weeks away and I'm desperate with pain.

Welcome to the forum! I hope you find the answers you need.

Welcome to the forum. There is a lot of great experience and knowledge shared here.

I don’t personally have experience with the symptoms you are describing. But a few thoughts struck me.

- Some of the symptoms you are describing overlap with Hard Flaccid/Pelvic Floor Dysfunction. Recognition of this problem is more recent and there isn’t a ton of information out there. There is a section on it here on FrankTalk. Read through those posts. I’ve heard good things about the book: “A Headache In My Pelvis“. Look into that to see if it is a fit. It may be helpful.

- instead of a tear, the same symptoms you describe could be the result of what could best be described as tendinitis. Has a doctor suggested a course of any anti inflammatory medications?

- a case of acute prostatitis could cause some of these symptoms as well. Was a PSA checked?

I hope you find relief from this. Please update with treatment and results so other guys can learn from your experience.

You definitely have classic symptoms of pelvic floor dysfunction. Your pelvic floor muscles are in spasm - pinching nerves...which is where the sharp pain is coming from. Google a pelvic floor physical therapist near you. A medical doctor will not be able to help you since they do not learn about this condition. try www.pelvicrehab.com and search for one near you.
Paul

Thanks for the welcome.

GoodWood wrote:Welcome to the forum. There is a lot of great experience and knowledge shared here.

I don’t personally have experience with the symptoms you are describing. But a few thoughts struck me.

- Some of the symptoms you are describing overlap with Hard Flaccid/Pelvic Floor Dysfunction. Recognition of this problem is more recent and there isn’t a ton of information out there. There is a section on it here on FrankTalk. Read through those posts. I’ve heard good things about the book: “A Headache In My Pelvis“. Look into that to see if it is a fit. It may be helpful.

- instead of a tear, the same symptoms you describe could be the result of what could best be described as tendinitis. Has a doctor suggested a course of any anti inflammatory medications?

- a case of acute prostatitis could cause some of these symptoms as well. Was a PSA checked?

I hope you find relief from this. Please update with treatment and results so other guys can learn from your experience.

I'll def take a look at those posts.

I've been taking 15mg of Meloxicam for pain, it's an anti inflammatory.

My appointment with Dr. Ralph is in about 3 weeks and I managed to get an appointment with Dr. Blecher for next week, both appointments having to be done virtually due to distance. I'll ask both whether they think pelvic floor dysfunction, tendinitis, and/or prostatitis could also be playing a role and I'll ask them what other tests I can take to clarify things as much as possible. Maybe an MRI done in very specific conditions, nerve tests, some kind of ultrasound, specific blood and urine tests that I haven't gotten perhaps. Several people report that ligament tears have been missed via MRI and several allege that Dr. Ralph states that MRIs are useless if not done erect.

I principally feel so sure that this is likely a PSL injury because that's what the symptoms seem to point to. I literally still can't quite believe that I injured/possibly partially tore my suspensory ligament because of the intense pelvic floor clenching while masturbating but I'm also having trouble believing and/or understanding how pelvic floor dysfunction could be mimicking or causing classic PSL injury symptoms.

Frank Talk Admin wrote:You definitely have classic symptoms of pelvic floor dysfunction. Your pelvic floor muscles are in spasm - pinching nerves...which is where the sharp pain is coming from. Google a pelvic floor physical therapist near you. A medical doctor will not be able to help you since they do not learn about this condition. try http://www.pelvicrehab.com and search for one near you.
Paul

I'll try to set something up with a pelvic floor specialist for next week to see if they can diagnose a problem and apparently Dr. Blecher and Dr. Ralph are specialists with PSL injuries, I would think they'd have some insight as to what else could be mimicking such an injury, such as pelvic floor dysfunction. I've also experienced quite a bit of urine dribbling and I feel my pelvic floor spasming/clenching quite more reactively than before.

I wonder if pelvic floor dysfunction + nerve problems could actually be responsible for all this.