Health Organization for Pudendal Education

Hello everyone,

I am a 42 year old man, and I ask you for advice on my symptoms:
2 years ago during sexual intercourse, I felt pain in the penis. The following days I felt a numbness, a loss of sensitivity in the penis. I noticed in the following months that my penis was a little curved to the left and veins had appeared.
After that, I lost my libido, my erections were getting harder and harder to get and keep.
I saw a doctor who told me not to worry and that it would come back.
A year ago I felt tingling in the perineum and penis as well as electric shocks. It lasted several months, without pain, but with more and more important difficulties for my erections.
After 4 or 5 months, burn-like pains appeared in the perineal area when I was sitting. I felt like a golf ball in the rectum. I realized from the internet that it was because of the pudendal nerve.
My doctor gave me Laroxyl (an antidepressant) and burn pains dropped from 0 to 3 out of 10 depending on the day. Erections were always possible but difficult to have.
1 month ago everything changed. I felt this time electric shocks in the rectum into the penis. What is strange is that the burn-type pains have completely disappeared. I no longer have pudendal nerve pain and the golf ball sensation in the rectum is gone too. It may sound good except that now I have trouble urinating and defecating. I am constipated. I can not defecate and I have to concentrate to urinate a small jet. I do not want to defecate or urinate all day. My erections have almost disappeared. Has anyone ever known that?

thanks a lot for your help

Hi Frank,

I think it would be important to get an MRI of the lumbar spine, sacral, and lumbosacral plexus area to make sure you to not have an impingment on the sacral nerve roots or at the cauda equina area that is causing these new symptoms. Cauda equina syndrome needs immediate treatment. It could be something lower down in the peripheral pudendal nerve but some imaging might help you figure it out.

Also, you could see a physical therapist who specializes in the pelvis to see if there is something mechanical going on that is causing your symptoms.

Violet