I just wanted to give everyone an update on my suspensory ligament issue, as it appears the other thread has been locked and I cannot reply to the individual who private messaged me asking about my progress. So, here's the story:
This is where I stand: it has been six months since the injury. Sensation has not fully returned, but it is much better than when it was before. I saw several urologists (three), including the head of urology at the Cleveland Clinic, and all of them told me the exact same thing, that the only thing you can do is to wait and see what comes back. Most nerve damage recovery occurs within the first year after the injury, but in some cases that recovery can happen up to two years post-injury. Also, there are three different types of nerve damage, ranging from least serious to most serious. I believe I have the middle type but there's no test to determine that.
As far as stability is concerned, several doctors I've talked to expressed concern about the suspensory ligament repair method with stitches, indicating it could cause side effects such as shortening and loss of sensitivity. However, I have been in touch with one guy who's had the procedure and he didn't have any problems. I am still not sure how prevalent these side effects are, as I have not gotten confirmation. One thing I would say is that Dr. Ralph doesn't seem to talk about complications in that paper, but I asked him what complications there were and he said there was a chance there could be a slight shortening of length, so that's something to consider. Again, I don't know how often this occurs, and the other guy who had the surgery did not have a problem, but you may want to touch base with Dr. Ralph about that.
One thing I have found that really works for stability issues is Cialis. I really didn't understand it -- Cialis just increases blood flow, but it really did have an impact on my stability. Unfortunately, I am waiting on sensitivity and hoping and praying it returns.
Hi Firefly, thanks for your update. I've got all the same symptoms as yourself, after an incident involving sudden down force on my erection 4 years ago. Symptoms don't seem to get much better with age. Pain during erection, weak at the base, loss of sensitivity.
I'm now seeing some good urologists in the south Florida area and will see what they say. I've had doppler ultrasound, testosterone and MRI. Only MRI seems to show scar tissue at the location of the suspensory ligament. For now they have not decided on surgery yet, as there are risks involved. I think they are afraid to do more nerve damage when they operate in the suspensory ligament area.
I'm not sure of the mechanism that causes all the symptoms, but I think it has mainly to do with nerve damage and ligament damage. Nerves run through the suspensory ligament, so if that gets torn, the nerves might get torn too. Then the suspensory ligament and possible the fundiform ligament which provide stability to the erection have been damaged.
Since my erection is slightly painful I think part of the body wants to shut it down. There is a constant battle going on during the erection to shut it down or to make it more firm due to stimulation. This battle creates a weak erection and /or quick loss of erection when stimulation stops.
Sorry to hear about your situation. I am contemplating a procedure with Dr. Ralph in the UK, but I don't know if I am going to go ahead with it. As far as my symptoms, the sensitivity has improved somewhat but the lack of stability is still there. However, the Cialis helps with this problem considerably. Please keep me posted on your situation.
Hi again, thanks for the quick reply. I actually just came back from one of the urologists. He reviewed all the results and did not recommend surgery. I also showed him a video of my erection and he didn't see anything out of the ordinary ligament wise.
So if that is the case I am just stuck with the other symptoms, weak initial erection, loss of erection during intercourse, loss of sensitivity, lack of stability. All of those seem to improve with Cialis, although I've only used it a few times.
I will wait for the opinion of the second urologist, who is connected to a University in Miami. Perhaps he has a different treatment option. One thing seems certain, this PSL repair is not done here in the US.
I've heard different things about the feasibility of PSL repair. Some say that its a relatively simple procedure; others indicate that there's risk. Good luck. I can tell you personally this has been a big mind-you-know-what trying to deal with.
Hey guys ive been having the same problem. Instability and weak base when im erect. The base of my penis is very flexible and i will lose my erection in seconds. i truly believe its the suspensory ligament. I have had this problem for almost 2 years now and i need to do something about it. Ive done research and it seems to me that this surgery is not done in the US and the only Doctor that knows about this is Dr. Ralph in london. I also read on here that one guy did have the surgery and it was successful. I would like to get ahold of him somehow to ask him some questions. I would like to keep in touch with you guys to see if we can find a solution to this. If anyone knows anybody in the US that knows this kind of surgery please reply back. Thank you