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Erectile issues due to trauma,neurological problem - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Erectile Dysfunction
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2407 Questions
User :   i have had lumbar disc issues for a few years now but they come and go, have done Physical therapy, injections, etc. a few weeks ago i fell while snowboarding onto my left butt cheek, i honestly felt it on my butthole and now have hemrhoids, a few days later i started having some erectile issues, those issues have got better but still not the same and sometimes im abnormally flaccid. obviously i feel like i should consult a doctor about this, is an orthopedic the right doctor or should i go straight to a neurosuregon? im assuming this is an urgent issue that is probably not going to "fix" itself? thanks
Doctor :   Hi
Doctor :   Let me read the query.
Doctor :   May I know your age?
User :   30
Doctor :   Ok
Doctor :   Do you have early morning erections?
User :   yes but i fell like they are not the same, not as long in time
Doctor :   Ok
Doctor :   Let me brief you.
Doctor :   Erectile dysfunctions can happen due to neurological problems, but
Doctor :   this is usually constant and do not fluctuate.
Doctor :   if you feel that your symptoms are only occasional, then its unlikely that it is due to neurological issues (secondary to the back problem).
Doctor :   Since, I am unable to perform a physical examination, I cannot confirm my suggestions.
Doctor :   Hence, you can consult an urologist
Doctor :   who by examination can suggest, if the issue is entirely neurological.
Doctor :   Have you followed what I have suggested?
User :   yes i have
Doctor :   Do you have any other query?
User :   even though i had back pain as well i shouldnt see the orthopedic
User :   ?
Doctor :   Since your present concern is erectile difficulties and not the back pain, and as
Doctor :   there are plenty of other causes,
Doctor :   my suggestion is that you see an urologist.
User :   ok, thank you
Doctor :   If its confirmed that it is neurological, then you can go ahead and consult a spine surgeon.
Doctor :   Have you followed what I have suggested?
Doctor :   Do you have any other query?
User :   so the urologist can confirm if it is neurological?
Doctor :   Yes.
Doctor :   I would like to remind you again,
Doctor :   that the chances of it being a neurological issue is unlikely, if your symptoms are fluctuating.
Doctor :   Hence you need not panic.
Doctor :   Get the examination by the urologist and things will be clear after that.
Doctor :   Are you there?
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