Erection issues and angle + suspensory ligament

[koiking]

Hello guys, I hope to find people who have had similar issues to me and are now doing better.


I currently have 2 issues. Erection angle, and penis not holding blood after sexual stimulation stops.

My first problem is my erection angle and producing an erection. When I get an erection hands-free, it points downward and to the right about between 4 and 5 o'clock angle wise. My erection isn't solid as a rock either. However, when I hold my flaccid penis up at a higher angle and get an erection, my penis fills with blood fully and I am rock hard. In fact, my erection will point out just slightly more than 90 degrees but not as low as I first described.

I'm pretty sure the suspensory ligament has something to do with that since that is what stabilizes an erection. And without holding my penis it has no stability.

Second, I can't maintain an erection without stimulation. My penis just goes soft after a few seconds. I'm not sure if this is due to my issue above or if I have a venous leak.

1. Has anyone had their suspensory ligament tightened/repaired?
2. And could instability of the penis cause one to lose an erection quickly?

I know that there are doctors in the U.K. who repair damaged suspensory ligaments, but I can't seem to find any in the USA.

[bldoink]

I'm not a medical professional of any kind. Anything I post is based on my own experiences at best and on hallucinations or delusions at worst. Nothing I post should be misconstrued as medical advice because it isn't! Internet forum advice is worth what it costs. Always ask your doctor and follow his/her advice.

Have you seen a good urologist yet? If not please do so.

I'll speculate and say everything is related to a venous leak. But what do I know? Well, not much it seems.

Your condition could still be mild enough that a quality novelty or sex shop cock ring might give you enough of a boost to give you a satisfactory resolution. You may have to go through several brands and models to find what works for you.

I wouldn't try to self-diagnose yourself too much. Go see a good urologist. If you don't get the answers you need from the 1st one then try another one.

[ETGuy71]

Yes see urologist for complete penile check. Yes you can get opinions here based on what so many of us have experienced but still medical professional is the answer.
Having said that, based on my similar experience, I was diagnosed with venous leak by Doppler ultrasound. After trying pills and my penis would get hard but not stay hard very long even while stimulating or after penetrating it would lose ridgity. When injected with Trimix for ultrasound, it got very full but not hard so injection didn’t work, plus my penis ached until the injection wore off! I find out when my implant will happen on Wednesday this week.
Best of luck to you.

[koiking]

I will definitely look into a urologist. Hopefully, one that has an open mind. As far as the suspensory ligament repair/tightening goes, I might look into a genital reconstructive surgeon as I don't see too many urologists touching on that. But I will definitely go to a urologist to get an official diagnosis.

[handfulWES]

I know I often add my two cents in but I too recommend a good urologist.

Let me say that I work one on one with many guys. MANY have a multitude of problems. Often guys (some of this is dependent on age) who have girth at 6" or slightly better and who are 7 or more inches in length have problems with their penis standing out straight. Most will hang down or down and to one side and this requires them to use their hand to guide their penis to the right spot. I would say that all of these same guys have an erection, but the erection isn't like granite but more spongy. I am thinking of one guy in particular and for him it is difficult to maintain even that, once he tries to say top.

I finally talked him into seeing a urologist here that I know very well and the first thing he did was check his "T" level. Sure enough I was right his level was low and he was only 39. He started on the gel and by his 5th day notice a slight improvement. At the end of almost 2 weeks, he had a far better erection but it still hung down some. He measured in at 6 1/4" around and 7 1/4 in length. The urologist recommended that he flex his muscles doing the kegel exercises. That has helped along with prostate massage he is functioning at least 70 percent better. With this did come some angle to the right with his penis. He has also learned if his wife is on top, he almost never looses his erection. If he is on top he tells me it will come and go but he is able to get to the end and both enjoy.

He is considering an implant because he knows how well mine works and this will also fix the angle problem. His is from a weak ligament as you described. The urologist said the implant will have extensions that are up inside to actually hold your penis but due to the weight of a full blown erection, it may drop down some, NOT THE END OF THE WORLD.

I don't have more specifics on your make up. Like posted before, I'm not a medical doctor. I have a good deal of medical training and I am only offering in advice to what I actually know. I knew if I moved around after my erection I could lose it in like 2 seconds and that was very frustrating. I had 3 problems all at the same time. PROBLEM 1 - The blood flow in was slow going in. PROBLEM 2 - I had a back injury when I was 7 falling out of the top of the tobacco barn hanging tobacco. PROBLEM 3 - My "T" level was so damn low that most women had more "T" than I did. Once I decided I was tired of fucking around with things to fix the problem I opted for an implant. THAT was the best decision I ever made and I am still taking my "T" and horny all the time.

AGAIN I AM ONLY OFFERING SOME ADVICE. Your first stop is a great Urologist. You are welcome to copy my comment out and print it and take it with you. At 68 1/2 and fighting ED issues from 19 years old till I was 41 1/2 and had my first implant and working with guys on a one on one, going with many to see a urologist, I almost believe I actually do know a little something. I don't have all the answers. If your doctor is honest, he will say he doesn't have all the answers either, and very few will say that. This is why their license reads: PRACTICING PHYSICIAN!!

WES

[QuestionGuy]

The OP asks a dam good question. I have similar issues even with TRIMIX/cialis. The penis gets rigid, but it swivels at the base. I have become very adept at balancing it with subtle hip movements for guiding into the target in missionary position for round 1, but usually have to resort to guiding it with my hand towards the target after that. laying on side facing each other works too.

I have never heard of an operation to tighten up the ligament, but it makes sense. pull out all the slack and get everything tethered back down to the pelvis bone. Does it work that way? I'm still in awe of how the implants don't swivel. It seems like that would be putting a very heavy painting on the wall and screwing it into drywall ....but i guess they must screw it into the pelvis bone? which more like screwing into a walls stud behind the drywall?

[Stenlie_]

https://onlinelibrary.wiley.com/doi/ful ... 07.06551.x

"Two men in the present series presented with venogenic ED. Concomitant abnormalities of the PSL were diagnosed where palpable gaps were present. Previous studies showed that defects in the PSL could be a cause of ED [4]. One mechanism that could account for this is that the PSL circumscribes the dorsal vein of the penis in its course, thus a functional PSL might be part of the veno‐occlusion mechanism required for the process of erection. In the present series, the ED in both patients resolved after surgery."

[Greg1956]

I had a Venous Leak for many years and the quality of erection was 100% dependent on what position I/my penis was in. Personally, I don’t see how it could be your suspensory ligament when, as you said, you do get an erection that is above straight out when you stimulate it. It just sounds to me like it requires constant stimulation to get as hard as possible and to stay hard as long as possible.

In my case I could lay still in bed and maintain a good hard erection, but the second I rolled over, sat up, or even moved too quickly it immediately went soft. In your case if your suspension ligament was the issue, why would it hold your penis up when you get a stronger erection. If it had somehow snapped or stretched, don’t you think it would stay that way until it was repaired?