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This is Dr. David
this sounds like a problem with your pelvic floor muscles and lymphatic drainage.
what you need is a high resolution 3 tesla MRI scan of your pelvic floor muscles with IV contast.
have you had a good MRI scan of your pelvis with IV contrast? preferably with a high resolution 3 tesla magnet?
when you have a bowel movement, your stools or rectum could be pressing on lymphatic channels causing blockage and scrotal swelling.
the stool could also be affecting the nerves around your prostate which can affect your erections.
you could also be having sacral plexus nerve problems causing your symptoms.
all the nerves which control bowel movement, erections, scrotal muscle contractions all come from the sacral plexus.
there are both sympathetic and parasympathetic nerves which come from the sacral plexus.
parasympathic nerves are needed to have bowel movements.
ultarsound can see nerves in your pelvis.
I would ask your doctors to get an MRI scan of your pelvis.
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
scrotal swelling occurs when lymphatic drainage out of your scrotum is affected.
erectile dysfunction occurs when nerves coming from your sacrum and around your prostate are affected and don't function properly.
do you have ED all the time or just when you have a bowel movement?
I do have ED all the time.
I'm bit worry about the nerve as I wonder if i have damaged it when I enlarged my penis?
I hope I have not damaged the nerves as long I left it alone.
you did jelquing?
yes, trying to enlarge your penis can cause nerve damage and ED
No I did not jelquing
what did you do to enlarge your penis?
I used penis pump and sizegentics as I wanted to enlarge in girth and length.
have you heard about sizegentics?
Is it possible for the nerves to heals when I left it alone?
any sort of penis pumps can damage your penis nerves and cause ED
they can heal, but are very very very slow to heal.
How long will it take the nerves to heal? i have been waiting for nearly 2 years now.
yes, I just watched the video.
Is it possible to get the treatment to allow the nerves to heals faster if possible?
How long will it take the nerves to heal?
you damaged your nerves of your penis with the sizegentics device.
I am sorry you caused the nerve damage.
penis enlargement should never be tried because of these risks to the nerves.
does the nerves damage affect my ED?
the damage to your penis nerves from the sizegentics is what has caused your ED.
Oh damn, so what i need to do right now?
is there a way to get treatment to allow the nerves heals faster?
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
it is a very risky and possibly unsuccessful surgery which can be tried.
What about my scrotum sack that get swell?
what I need to do about the nerves that I damaged?
did that start after the sizegentics as well?
My scrotum sack swell when I accident pull it when I was sitting on the rear bench that I was cleaning for my car
what I need to do about the nerves that I damaged? How long will it take the nerves to heal?
nerves sometimes take decades to heal
and sometimes they never heal.
what you mean that sometimes it take decades to heal?
decades is 10 years
so it can take many many many years for nerves to heal.
I don't want to wait 10 years for the nerves to heal.
yes, I understand that.
but you can't fight the damage to your nerves which has already been done.
you should write to the sizegentics and tell them what happened.
you should go on forums online and tell everyone not to try to stretch your penis.
because it is very very dangerous.
That is strange because I have seen alot of people get success enlarged their penis.
those are not true cases.
How do you know that it is not true?
because I am a medical doctor and have studied this.
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?
yes, make an appointment to see your GP
you might benefit from a scrotum compression stocking.
you can make one from the youtube video
I can feel on my penis when I put my hands on which I don't think I have damaged the nerves?
ask your GP doctor to refer you to a urologist and ask about nerve grafting surgery.
if you are not having erections, you have already damaged nerves deep inside of your penis.
there are many nerves which run into your penis.
some nerves are for skin sensation.
other nerves are to dilate blood vessels to allow blood to flow into the penis to get erection.
these nerves are very very thin, smaller than a strand of hair.
let me know if you have other questions
I get what you mean.
if done, please leave positive feedback below for my efforts for helping you
do you know what it cause my scrotum sack to swell?
we only get credit for helping clients after positive feedback.
I need to confirm that if I have damaged the nerves.
you could have damaged the lymphatic channels from the scrotum when you pulled on it by accident.
a neurologist can examine your scrotum and penis and tell you if you have damaged nerves.
Does the lymphatic channel affect my ED as well or it just the nerves?
lymphatic channels are responsible for lymphatic drainage and when damaged, it causes swelling.
nerves control blood flow and erections.
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?
I would try to see both if you can.
good luck to you
don't forget to leave positive feedback below when done.
Ok I will sort it out.
thanks for requesting me.
your GP will have to refer you to these specialists.
thanks for using JustAnswer.com
Forgot to say do I need MRI scan?
you can still ask for an MRI scsan.
if that would help to pick up the lymphatic drainage and the nerves damaged?
they can be hard to get in the UK.
MRI scan can see larger nerves in the pelvis.
I had MRI scan few times because I use free health service such as NHS.
but from your history, it sounds like you damaged small nerves in your penis from the size machine.
and these nerves are too small to see on MRI scan.
Isi it pointless to get MRI?
Is it possible to get full erection again and relieve the scrotum swelling?
it is not pointless.
chances of full erection are very very very small.
there is a chance that scrotal swelling could improve.
What about I need to have sex?
you have damaged the nerves in your penis from the size machine.
you can't have sex now.
Yeah but if I have surgery will that help to get my erection working again?
I have not enlarge my penis as i have left it alone.
are you there?
surgery can be attempted, but risks are high and results can not be predicted.
you have already done the damage trying to enlarge your penis 2 years ago.
I hope the surgery can be attempted to fix the problem as long i have left it alone without harm it
When I had my foreskin removed, i did not feel any pain so do that mean I have nerves damaged?
yes, that means you have nerve damage
the fact that you can't have erection means you have nerve damage.
please leave positive feedback below
Ok I will talk to my GP and urology about this.
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?
yes, you can always start a new question for a urologist in the urology section.
is it free to start a new question?
no, it cost each time you start a new question.
Ok, can I get back to you later if i have any questions?
Do I have to pay again if I have not rate your answer unless I accept your answer?
I do not understand that question.
yes, if you want to start a new question with another doctor, you have to pay again.
even if you don't rate me.
are you thinking of not rating me?
I have helped you now for about an hour on chat.
Ok I got something to tell you
I can only get semi-erection when I try to push the blood flow to the penis so have i damaged the nerves?
yes, you have damaged your nerves.
you can get semi erections with a penis pump and elastic band at the base of your penis, even with no nerve function.
you have numbness of your foreskin.
you have caused yourself nerve damage when you were trying to stretch your penis with the size machine 2 years ago.
that is when you stopped having erections.
it was from that size machine.
Yeah I can see
how do i know if the nerves has improve?
when you start getting spontaneous morning erections.
morning erections are normal. you use to get them.
now you don't
I only had once morning erection.
I have something to ask you
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?
Oh I see, so have the nerves which control urination has improving?
Oh ok thank you very much for that.
Can I save and exit this for now and talk to you more tomorrow?