Erectile Dysfunction After Trauma: What You Need to Know - Urology

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I have some concerns about my genitalia and would like to ask a question?


I would like to ask, a few days ago while playing with my classmates in the dormitory, my penis was accidentally kicked hard.
At first, it only hurt for a moment, so I didn't pay much attention.
However, later I noticed something strange; I am unable to achieve an erection, and no matter how much effort I put in, there is no response.
This is unusual because in the past, it would at least respond and be easy to get an erection.
I'm very worried and would like to know if this could be related to a fracture.
Also, how much would the medical expenses likely be? Thank you.

A Pao, 10~19 year old female. Ask Date: 2003/12/20

Dr. Chen Zhirong reply Urology


Hello, A-Pao: I apologize for the delayed response due to a malfunction in our hospital's network system.
Your issue may be influenced by psychological factors, but there could also be an underlying organ-related problem.
I recommend that you seek a consultation for a differential diagnosis.
Urology, Dr.
Chen Chih-Rong.

Reply Date: 2003/12/20

More Info


Erectile dysfunction (ED) following trauma, such as the incident you described, can be concerning and may arise from various factors. While it’s understandable to feel anxious about the situation, it’s important to approach this matter with a clear understanding of the potential causes and the necessary steps to address it.

Firstly, trauma to the pelvic area, including the groin, can lead to temporary or even long-term erectile dysfunction. The penis is primarily composed of erectile tissue, which relies on proper blood flow and nerve function to achieve and maintain an erection. If the trauma you experienced caused any injury to the nerves or blood vessels in the area, it could result in difficulties with erectile function. Additionally, psychological factors such as anxiety or stress about the injury can also contribute to ED.

In your case, since the injury was acute and you experienced immediate pain, it’s possible that there may have been some soft tissue damage or bruising that could affect erectile function temporarily. However, if you are experiencing a complete inability to achieve an erection, it is advisable to seek medical attention. A healthcare provider can perform a thorough examination, which may include a physical assessment and possibly imaging studies to rule out any significant injuries, such as fractures or nerve damage.

Regarding the concern about a potential fracture, while it is less common for a kick to the groin to cause a fracture in the pelvic area, it is not impossible. If there is any suspicion of a fracture or significant injury, imaging studies such as X-rays or MRI may be warranted to assess the situation accurately.

As for the medical costs associated with evaluation and treatment, this can vary widely depending on your location, the healthcare facility, and whether you have insurance coverage. Initial consultations with a urologist or primary care physician may range from $100 to $300, and additional tests or treatments could increase the overall cost. If you have health insurance, it’s advisable to contact your provider to understand your coverage for these services.

In the meantime, here are some steps you can take:
1. Rest and Avoid Strain: Give your body time to heal. Avoid activities that may exacerbate the injury or cause further discomfort.

2. Monitor Symptoms: Keep track of any changes in your symptoms. If you notice improvements or worsening conditions, this information will be helpful for your healthcare provider.

3. Seek Medical Attention: If the inability to achieve an erection persists for more than a few days, or if you experience additional symptoms such as pain, swelling, or changes in urination, it’s crucial to consult a healthcare professional.

4. Consider Psychological Factors: If the physical examination reveals no significant injury, consider discussing the psychological aspects of your situation with a counselor or therapist, as anxiety can play a significant role in erectile dysfunction.

5. Follow-Up Care: If diagnosed with ED, your healthcare provider may suggest various treatment options, including medications, therapy, or lifestyle changes.

In conclusion, while trauma can lead to erectile dysfunction, it is essential to seek medical advice to determine the underlying cause and appropriate treatment. Early intervention can often lead to better outcomes, so do not hesitate to reach out to a healthcare professional for guidance.

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