Update. It's been five days and the shaft is still hard as a rock and swollen. However, the color to the glans has returned to normal and it seems that it is not ischemic (i.e. blood flow is not blocked). So basically it means I have induced "non-ischemic priapism". Basically you can get priapism (constant erection) in two ways: 1 when the outflow of blood is blocked (ischemic, causes death to the tissue) or 2 when the inflow increases to be greater than normal outflow (non-ischemic).

It will be interesting to see how it resolves. I feel that it will probably heal (mostly), although maybe with some fibrosis and internal scarring from the trauma. This may cause some Peyronie's type of condition (curvature and/or painful erections) but so far there isn't any significant curvature.

When if ever do you have it looked at by a doctor?

Wolf-Pup (imported) wrote: Wed Apr 20, 2016 7:38 pm When if ever do you have it looked at by a doctor?

While I'm not afraid to go to a doctor ... I've gone to them with a lot of crazy sexual injuries ... I know from experience that this isn't anything they can do anything about unless it shows evidence of dry gangrene. If I went to doctor now it would just be the embarrassment of talking to the nurses and doctors and they would just prescribe a wait and see approach. I'm not in much discomfort and there is no functional impairment to erections or urination. I have no sign of infection or fever. So nothing a doctor can do for me.

SplitDik,

Even though your glans has returned to normal, that might just be due to the fact that the glans blood supply is fed by the superficial dorsal vein/artery which lies on the top side of the penis. However, if your penis as a whole is still rock hard, it might be that the corpus cavernosums are compromised and blood flow has ceased and congealed due to the action of the phenol, which acts as a coagulant, solidifying the blood. If this is the case, and I suspect it is, then blood is not flowing freely into the cavernosums. If your penis stays rock hard then eventually the cavernosums might die. Please keep us updated on your condition and if you told a urologist that your penis has been rock hard for 5 days, he would certainly want to find out why, it's not normal and it can be dangerous. Your penis cannot stay rock hard and swollen, if it does much longer, it won't survive. It could quickly turn black from dry necrosis. I'm curious, you said, "no functional impairment to erections?" So is your penis flaccid at times or completely rock hard all the time?

It's possible that the action of the phenol did something similar to this man who took too much trazadone: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2910996/

"Despite a new shunting, an incision of the corpus cavernous and spongious, and anticoagulant therapy with an INR at 12, the patient had an unfavorable outcome with persistent thrombosis. Forty-eight hours later, a dry necrosis of the glans appeared. After 3 weeks of conservative treatment, amputation of the penis with perineostomy had to be realized".

No updated in the last few days. I hope everything is going okay.

Sorry for the delay in responding, I've been crazy busy at work due to a promotion. Thanks to those who were concerned enough about me to send me PMs asking about my welfare.

Here's a big update.

So, as the erection pretty much hadn't gone away by last Friday, I scheduled an appointment with a urologist. I wanted to see Dr. Karpman, a renowned Bay Area urologist who specializes in penile disorders like Peyronie's but he couldn't take an appointment on short notice and so I made an appointment with his junior partner, Dr. Kong. Dr. Kong specialized in urinary incontinence though and so I was skeptical that he would be knowledgeable in this area, which you'll see turned out to be true.

So my appointment was for yesterday, and when I got to the examining room the Dr. couldn't disguise his shock and bewilderment. He literally said he had never seen anything like it before -- which I felt was a bit unprofessional since you really don't want to hear that from your doctor even if it is true. So he sent me to get an ultrasound, which they could do right in the office. A nice lady starts doing the ultrasound and then shortly calls in the doctor. She found scarring throughout the penis, and the Dr. was getting pretty excited about it and started calling them tumors. My scrotum is also swollen a fair bit and so he asked her to ultrasound my balls too and in that case they found all sorts of scarring (I've had calcium chloride injections, lots of heavy ball busting, and so forth over the years) but he also thought they were tumors.

So he sat me down and said that based on what he saw that he would likely have to remove both testicles and my penis! I got really happy, but then he decided he needed a second opinion and so he called in Dr. Karpmann, the guy I wanted to see in the first place.

Dr. Karpman comes in, takes one look and says "what did you inject into your penis"? I denied doing injections and so he left the room and came back with a laptop. He started showing me pictures of his other patients that injected things into the penis, and of course it looked exactly like my injury.

So I came clean and told him. He was really cool about it and said that I'd come to the right guy and he could help me. Of course he assumes that what I want is restoration rather than removal. So he talked to me and said that the scarring is likely to progress, becoming painful and causing severe curvature (basically Peyronie's) and that he recommends that I get a penile prosthesis to help keep it stretched and straight. He is apparently the top penile prosthesis guy in the US, with a couple thousand patients under his belt. He showed me a video of his penile implant surgery, which is billed as minimally invasive but frankly still looks pretty brutal to me -- you can see his video here: https://www.youtube.com/watch?v=CEpEPl81VKk

Anyway, they still want to rule out any cancer with some blood work, and I have a follow up with Dr. Karpman on Thursday May 5.

Note, I don't intend to get a penile implant as I don't really care about the state of my penis.

Also, the ultrasound showed good blood flow, although I have "venous leakage" which is creating the erection. But no issue with ischemia, necrosis or blood clotting to worry about.

I watched Dr. Karpman's video and for good measure I watched several other videos of similar surgeries. Dr. Karpman does seem to have a more direct approach with less trauma to the patient than the others. In my opinion you may be able to get the result you want ( less or no male organs) if you continue along your present path. At least the urologist looks to be very skilled. --FLO--

Uncle Flo (imported) wrote: Wed Apr 27, 2016 8:38 am I watched Dr. Karpman's video and for good measure I watched several other videos of similar surgeries. Dr. Karpman does seem to have a more direct approach with less trauma to the patient than the others. In my opinion you may be able to get the result you want ( less or no male organs) if you continue along your present path. At least the urologist looks to be very skilled. --FLO--

I agree that his approach is probably less invasive than other techniques, but it sure as heck is still pretty invasive. At one point he's ramming metal rods down the shaft. I'm someone who is happily willing to do horrible things to my genitals, yet that video made me squirm.

Also, I think the whole idea of having a pump hanging in your scrotum would be really annoying.

SplitDik (imported) wrote: Wed Apr 27, 2016 8:56 pm I agree that his approach is probably less invasive than other techniques, but it sure as heck is still pretty invasive. At one point he's ramming metal rods down the shaft. I'm someone who is happily willing to do horrible things to my genitals, yet that video made me squirm.

Also, I think the whole idea of having a pump hanging in your scrotum would be really annoying.

There are also the ones which do not have a pump but then your penis is always semi up.

_g

Perhaps you should schedule an appointment with another urologist and hope that he or she will have the same conclusion as Dr. Kong had, remove everything. I think the chances of finding another urologist who is less "up on the injection thing" would help you achieve your goal. I also wouldn't mention seeing Dr. Karpman, but another opinion couldn't hurt. This is an awesome opportunity to get your penis removed professionally. Pursue it if it's what you want.