Health Organization for Pudendal Education

Hello everyone,

In 2017 I masturbated too rough by squeezing my penis tightly and pulling it to a downward angle. At one point I felt a sudden sharp pain and lost my erection. Immediately, my penis went almost completely numb, with only around 10% of sensation left. The glans is especially numb.

To this day, the numbness hasn't improved at all. I've also had difficulty getting an erection ever since. Sometimes I can barely even tell when I have an erection because it's so numb.

Is this pudendal neuralgia or something else? Is there any hope of recovering sensation or is it a lost cause?

Thank you.

Hi Hex,

Have you had any diagnostics or seen any physicians so far?

I don't know if a doctor would diagnose it as pudendal neuralgia, but since the dorsal penile branch of the pudendal nerve innervates the penis you certainly have to suspect that the pudendal nerve is involved. WebMD includes numbness in their definition of pudendal neuralgia. https://www.webmd.com/pain-management/p ... -neuralgia

Whether or not you can get sensation back with the right treatment is hard to say, but there are people who get sensation back years later after a nerve has been damaged. Are you able to consult with one of the PN doctors?

Violet

What kind of doctor would you recommend seeing? I’ve seen a couple useless urologists. Should I see a neurologist or what?

Also, I should mention I have other symptoms as well:
- ED
- overextended long flaccid penis
- urinary issues like urgency, frequency, and start/stop urinating
- occasional foreign body sensation in perineum
- occasional burning sensation at tip of penis and perineum
- tight pelvic floor

I wonder if the symptoms weren’t caused by the masturbation injury itself, but rather by the intense pelvic floor muscle spasm that occurred as a result.

Thanks.

There might be stuff you can do locally, but I think you would want to see a pudendal neuralgia specialist if you can. You could at least consult with one via email if you can't actually get to one right away, and see what they recommend you and and if there are any diagnostics they recommend your local physician should order. There are some posts by a guy with username "Staypositive" about his recent successful experience with Dr. Aszmann in Austria. I think his symptoms might have been somewhat similar to yours. You can search his posts using the search feature in the upper right corner.

Neurologists often don't know much about PN. A urologist might be more up on it, but it would depend on the urologist. Have you seen anyone yet about this? Typically, the sooner you get treatment for numbness the better. You could also get a pelvic floor PT evaluation just to see what the state of your pelvic floor is or if there are any musculoskeletal abnormalities that could be contributing to the problem.

Violet