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Dr. David
Dr. David, Physician Experienced in Urology
Category: Urology
Satisfied Customers: 45234
Experience:  Board Certified Physician with extensive experience in Urology
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, i got a problem with my scrotum sack as it get swell everytime

Resolved Question:

Hello, i got a problem with my scrotum sack as it get swell everytime when I go to toilet when i have the solid movement. When my scrotum sack swell, i get a cold reaction to my glans. The urology said the diagnosed i have is chronic pelvic pain syndrome and i'm also suffered with erectile dysfunction. I had a ultrasound scan and it came up with all clear, the reports say it is unclear of what i might have. I've been suffered for 2 years now and I don't know what it is as i have spoken to number of different doctors and no one know what it is. I had a blood test and it came all clear. Do you know what is the cause that make my scrotum to swell in each time when I go to toilet and also cause my erectile dysfunction? there is something related to chronic pelvic pain syndrome or if it is the prostate.
Submitted: 2 years ago.
Category: Urology
Expert:  Dr. David replied 2 years ago.
Dr. David :

This is Dr. David

Dr. David :

this sounds like a problem with your pelvic floor muscles and lymphatic drainage.

Dr. David :

what you need is a high resolution 3 tesla MRI scan of your pelvic floor muscles with IV contast.

Dr. David :

have you had a good MRI scan of your pelvis with IV contrast? preferably with a high resolution 3 tesla magnet?

Dr. David :

when you have a bowel movement, your stools or rectum could be pressing on lymphatic channels causing blockage and scrotal swelling.

Dr. David :

the stool could also be affecting the nerves around your prostate which can affect your erections.

Dr. David :

you could also be having sacral plexus nerve problems causing your symptoms.

Dr. David :

all the nerves which control bowel movement, erections, scrotal muscle contractions all come from the sacral plexus.

Dr. David :

there are both sympathetic and parasympathetic nerves which come from the sacral plexus.

Dr. David :

parasympathic nerves are needed to have bowel movements.

Dr. David :

ultarsound can see nerves in your pelvis.

Dr. David :

I would ask your doctors to get an MRI scan of your pelvis.

JACUSTOMER-iy742eea- :

Hello Dr David, thank you very much for your reply. How do you know that it sound like a problem with my pelvic floor muscles and lymphatic drainage? I haven't take the chance to get MRI scan of my pelvis, I will do that when I make appointment to see my GP. So have I damage the nerves around my prostate? I hope I have not

Dr. David :

scrotal swelling occurs when lymphatic drainage out of your scrotum is affected.

Dr. David :

erectile dysfunction occurs when nerves coming from your sacrum and around your prostate are affected and don't function properly.

Dr. David :

do you have ED all the time or just when you have a bowel movement?

JACUSTOMER-iy742eea- :

I do have ED all the time.

JACUSTOMER-iy742eea- :

I'm bit worry about the nerve as I wonder if i have damaged it when I enlarged my penis?

JACUSTOMER-iy742eea- :

I hope I have not damaged the nerves as long I left it alone.

Dr. David :

you did jelquing?

Dr. David :

yes, trying to enlarge your penis can cause nerve damage and ED

JACUSTOMER-iy742eea- :

No I did not jelquing

Dr. David :

what did you do to enlarge your penis?

Dr. David :

penis pump?

JACUSTOMER-iy742eea- :

I used penis pump and sizegentics as I wanted to enlarge in girth and length.

JACUSTOMER-iy742eea- :

have you heard about sizegentics?

JACUSTOMER-iy742eea- :

Is it possible for the nerves to heals when I left it alone?

Dr. David :

any sort of penis pumps can damage your penis nerves and cause ED

Dr. David :

they can heal, but are very very very slow to heal.

JACUSTOMER-iy742eea- :

How long will it take the nerves to heal? i have been waiting for nearly 2 years now.

JACUSTOMER-iy742eea- :

have you heard about sizegentics?

Dr. David :

http://www.sizegenetics.com/us/

Dr. David :

yes, I just watched the video.

JACUSTOMER-iy742eea- :

Is it possible to get the treatment to allow the nerves to heals faster if possible?

JACUSTOMER-iy742eea- :

How long will it take the nerves to heal?

Dr. David :

you damaged your nerves of your penis with the sizegentics device.

Dr. David :

I am sorry you caused the nerve damage.

Dr. David :

penis enlargement should never be tried because of these risks to the nerves.

JACUSTOMER-iy742eea- :

does the nerves damage affect my ED?

Dr. David :

the damage to your penis nerves from the sizegentics is what has caused your ED.

JACUSTOMER-iy742eea- :

Oh damn, so what i need to do right now?

JACUSTOMER-iy742eea- :

is there a way to get treatment to allow the nerves heals faster?

Dr. David :

you can ask to see a neurosurgeon and urologist to see if they can do nerve grafting surgery to try to repair the nerves you damaged

Dr. David :

it is a very risky and possibly unsuccessful surgery which can be tried.

JACUSTOMER-iy742eea- :

What about my scrotum sack that get swell?

JACUSTOMER-iy742eea- :

what I need to do about the nerves that I damaged?

Dr. David :

did that start after the sizegentics as well?

JACUSTOMER-iy742eea- :

My scrotum sack swell when I accident pull it when I was sitting on the rear bench that I was cleaning for my car

JACUSTOMER-iy742eea- :

what I need to do about the nerves that I damaged? How long will it take the nerves to heal?

Dr. David :

nerves sometimes take decades to heal

Dr. David :

and sometimes they never heal.

JACUSTOMER-iy742eea- :

what you mean that sometimes it take decades to heal?

Dr. David :

decades is 10 years

Dr. David :

so it can take many many many years for nerves to heal.

JACUSTOMER-iy742eea- :

I don't want to wait 10 years for the nerves to heal.

Dr. David :

yes, I understand that.

Dr. David :

but you can't fight the damage to your nerves which has already been done.

Dr. David :

you should write to the sizegentics and tell them what happened.

Dr. David :

you should go on forums online and tell everyone not to try to stretch your penis.

Dr. David :

because it is very very dangerous.

JACUSTOMER-iy742eea- :

That is strange because I have seen alot of people get success enlarged their penis.

Dr. David :

those are not true cases.

JACUSTOMER-iy742eea- :

How do you know that it is not true?

Dr. David :

because I am a medical doctor and have studied this.

JACUSTOMER-iy742eea- :

Oh I see. So can you advice me what I would need to do with my scrotum sack that swell and my ED? should I make appointment to see my GP?

Dr. David :

yes, make an appointment to see your GP

Dr. David :

you might benefit from a scrotum compression stocking.

Dr. David :

https://www.youtube.com/watch?v=efuAqVgFY_U

Dr. David :

you can make one from the youtube video

JACUSTOMER-iy742eea- :

I can feel on my penis when I put my hands on which I don't think I have damaged the nerves?

Dr. David :

ask your GP doctor to refer you to a urologist and ask about nerve grafting surgery.

Dr. David :

if you are not having erections, you have already damaged nerves deep inside of your penis.

Dr. David :

there are many nerves which run into your penis.

Dr. David :

some nerves are for skin sensation.

JACUSTOMER-iy742eea- :

Oh damn

Dr. David :

other nerves are to dilate blood vessels to allow blood to flow into the penis to get erection.

Dr. David :

these nerves are very very thin, smaller than a strand of hair.

Dr. David :

let me know if you have other questions

JACUSTOMER-iy742eea- :

I get what you mean.

Dr. David :

if done, please leave positive feedback below for my efforts for helping you

JACUSTOMER-iy742eea- :

do you know what it cause my scrotum sack to swell?

Dr. David :

we only get credit for helping clients after positive feedback.

JACUSTOMER-iy742eea- :

I need to confirm that if I have damaged the nerves.

Dr. David :

you could have damaged the lymphatic channels from the scrotum when you pulled on it by accident.

Dr. David :

a neurologist can examine your scrotum and penis and tell you if you have damaged nerves.

JACUSTOMER-iy742eea- :

Does the lymphatic channel affect my ED as well or it just the nerves?

Dr. David :

lymphatic channels are responsible for lymphatic drainage and when damaged, it causes swelling.

Dr. David :

nerves control blood flow and erections.

JACUSTOMER-iy742eea- :

Oh I got it. Thank you very much for that important information. Do I need to see the urology or neurologist to get check up?

Dr. David :

I would try to see both if you can.

Dr. David :

good luck to you

Dr. David :

don't forget to leave positive feedback below when done.

JACUSTOMER-iy742eea- :

Ok I will sort it out.

Dr. David :

thanks for requesting me.

Dr. David :

your GP will have to refer you to these specialists.

Dr. David :

thanks for using JustAnswer.com

JACUSTOMER-iy742eea- :

Forgot to say do I need MRI scan?

Dr. David :

you can still ask for an MRI scsan.

JACUSTOMER-iy742eea- :

if that would help to pick up the lymphatic drainage and the nerves damaged?

Dr. David :

they can be hard to get in the UK.

Dr. David :

MRI scan can see larger nerves in the pelvis.

JACUSTOMER-iy742eea- :

I had MRI scan few times because I use free health service such as NHS.

Dr. David :

but from your history, it sounds like you damaged small nerves in your penis from the size machine.

Dr. David :

and these nerves are too small to see on MRI scan.

JACUSTOMER-iy742eea- :

Isi it pointless to get MRI?

JACUSTOMER-iy742eea- :

Is it possible to get full erection again and relieve the scrotum swelling?

Dr. David :

it is not pointless.

Dr. David :

chances of full erection are very very very small.

JACUSTOMER-iy742eea- :

Ok

Dr. David :

there is a chance that scrotal swelling could improve.

JACUSTOMER-iy742eea- :

What about I need to have sex?

Dr. David :

you have damaged the nerves in your penis from the size machine.

Dr. David :

you can't have sex now.

JACUSTOMER-iy742eea- :

Yeah but if I have surgery will that help to get my erection working again?

JACUSTOMER-iy742eea- :

I have not enlarge my penis as i have left it alone.

JACUSTOMER-iy742eea- :

Yeah but if I have surgery will that help to get my erection working again?

JACUSTOMER-iy742eea- :

are you there?

Dr. David :

surgery can be attempted, but risks are high and results can not be predicted.

Dr. David :

you have already done the damage trying to enlarge your penis 2 years ago.

JACUSTOMER-iy742eea- :

I hope the surgery can be attempted to fix the problem as long i have left it alone without harm it

JACUSTOMER-iy742eea- :

When I had my foreskin removed, i did not feel any pain so do that mean I have nerves damaged?

Dr. David :

yes, that means you have nerve damage

Dr. David :

the fact that you can't have erection means you have nerve damage.

Dr. David :

please leave positive feedback below

Dr. David :

thanks for using JustAnswer.com

JACUSTOMER-iy742eea- :

Ok I will talk to my GP and urology about this.

JACUSTOMER-iy742eea- :

Thank you very much, is it possible if i can talk to another urology on here to see if they say the same things as what you said?

Dr. David :

yes, you can always start a new question for a urologist in the urology section.

JACUSTOMER-iy742eea- :

is it free to start a new question?

Dr. David :

no, it cost each time you start a new question.

JACUSTOMER-iy742eea- :

Ok, can I get back to you later if i have any questions?

Dr. David :

yes

Dr. David :

we only get credit for helping clients after positive feedback.

JACUSTOMER-iy742eea- :

Do I have to pay again if I have not rate your answer unless I accept your answer?

Dr. David :

I do not understand that question.

Dr. David :

yes, if you want to start a new question with another doctor, you have to pay again.

Dr. David :

even if you don't rate me.

Dr. David :

are you thinking of not rating me?

Dr. David :

I have helped you now for about an hour on chat.

JACUSTOMER-iy742eea- :

Ok I got something to tell you

JACUSTOMER-iy742eea- :

I can only get semi-erection when I try to push the blood flow to the penis so have i damaged the nerves?

Dr. David :

yes, you have damaged your nerves.

Dr. David :

you can get semi erections with a penis pump and elastic band at the base of your penis, even with no nerve function.

Dr. David :

you have numbness of your foreskin.

Dr. David :

you have caused yourself nerve damage when you were trying to stretch your penis with the size machine 2 years ago.

Dr. David :

that is when you stopped having erections.

Dr. David :

it was from that size machine.

JACUSTOMER-iy742eea- :

Yeah I can see

JACUSTOMER-iy742eea- :

how do i know if the nerves has improve?

Dr. David :

when you start getting spontaneous morning erections.

Dr. David :

morning erections are normal. you use to get them.

Dr. David :

now you don't

JACUSTOMER-iy742eea- :

I only had once morning erection.

JACUSTOMER-iy742eea- :

I have something to ask you

JACUSTOMER-iy742eea- :

for the last few days when i go to sleep i can see that i started to pee when i go to sleep. have the nerves improving?

Dr. David : These are different nerves which control urination
Dr. David : I have to go to sleep
Dr. David : I'll talk to you tomorrow
JACUSTOMER-iy742eea- :

Oh I see, so have the nerves which control urination has improving?

Dr. David : Urination nerves were never damaged
JACUSTOMER-iy742eea- :

Oh ok thank you very much for that.

JACUSTOMER-iy742eea- :

Can I save and exit this for now and talk to you more tomorrow?

Dr. David : No, please leave positive feedback for the help and time I have given to you already
Dr. David, Physician Experienced in Urology
Category: Urology
Satisfied Customers: 45234
Experience: Board Certified Physician with extensive experience in Urology
Dr. David and other Urology Specialists are ready to help you
Expert:  Dr. David replied 2 years ago.
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