Deflated Glans and Firm Flaccid: Pelvic Floor Dysfunction

To be honest, I’m not entirely sure.

I have problems with deflated glans when I masturbate too much but when I compress the CS my glans stays inflated just the same as if I compress the deep dorsel vein. (Compressing them individually and not together).

I can manipulate the glans while compressing either the CS or the deep dorsel vein and it still maintains engorgement so I’m wondering if perhaps the pelvic floor muscles are more responsible for the deflation (at least from what I suffer from).

It’s also something I’ve been thinking about for about a 1.5-2 months as I’ve previously mentioned in other posts that if I don’t kegel I don’t seem to suffer from problems with deflated glans and retarded ejaculation. The muscles used to kegel are skeletal muscles and problems are often present in skeletal muscle when they aren’t stretched or massaged. (Only recently I’ve overcome a nerve problem in my hand by stretching my entire shoulder girdle). I don’t really know of any way to stretch the pelvic floor muscles in the way we would stretch say our pectorals or triceps but they can be massaged and the fascia can be released which might help them go back to their lengthened state. In sports it’s commonly believed a muscle in a lengthened state is more powerful and can perform for longer, hence why trainers advocate stretching and resting the trained muscle.

For the last 3 days or so I’ve been massaging the area between the testicles and the anus and although I end up with a hard flaccid for 20-30 minutes after, an hour or so later (basically once the hard flaccid has subsided) I can get a rock hard erection that almost hurts. One thing I’ve noticed in this time (from doing the massage exercises) is that I have quite a few knots in this area and it takes quite a bit of manipulation to relieve them.

My thoughts for this were kind of reinforced when I watched the British show "Embarassing Bodies" and there was a woman who suffered from intense constipation and stomach cramps because she felt she couldn’t pass stools properly. It was determined this was the result of her post-birth kegel exercises which she was instructed to do. She had been kegelling so much that it constricted the muscles in her pelvic floor to the point she couldn’t "function" properly and it affected the rest of her abdominal region.

I’ve been thinking about what has been said in the previous dozen posts or so about cavernosograms not showing leaks and I’m wondering if maybe in these cases the problem isn’t in the body of the penis itself but within the pelvic floor. (My train of thought is if you can’t find the problem in the area you think it’s in maybe the problem isn’t there to begin with?).

Some people here have reported that by keeping their legs closed the glans doesn’t deflate at all or as much which might indicate there’s a problem with the muscles in the pelvic floor.

Obviously for people with veinuous leaks it’s a different story but this is really an alternative view for people who are suffering from this without any known major accident which caused it.

On another note, it makes me wonder… anecdotal evidence suggests performing kegels can help with premature ejaculation but then I wonder what the consequences are if you overtrain? And what constitutes overtraining? How much is too much?

The treatments are the same? That’s not what I’ve read. Venous leak is treating by an interventional radiologist closing some veins. Fibrotic scarring doesn’t really have any official treatments as such, offlabel usage of pentoxifylline has shown some benefit, and there are trials running in Israel for using shockwave therapy of some type to break up the fibrosis.

I suppose you could use a VED and cock ring for both conditions, but thats not going toward a cure, just bypassing the problem.

My point really is that the tests are right most of the time. If it says you don’t have a venous leak, you most probably don’t.

Interesting read TS, I definately think there is some validity in what you’re saying. I’ve seen several people reporting they believe pelvic floor irregularities are causing or contributing to these symptoms. How long have you been doing the massaging for?

The plot thickens!

Boner I think I am going to have to, reluctantly, agree with you. What you’re saying would be more logical, especially if I allow for the possibility that the prevelance of fibrotic scarring, neruological damage or pelvic foor problems being the underlying cause of these symptoms to be higher than I had assumed.

Can we definately define fibrotic scarring, venous leak, pelvic floor, neruo damage as the 4 major causes of these symptoms? Is there any argument to that? I would like, if possible, to try and work out a way to ascertain (without a caversosogram) which of these causes is likely to be present in an individual.

Now that I think of it, however, I was actually under the impression that a venous leak is caused by fibrotic scarring..?

I don’t really see the need though. Why not use the best diagnostic tools available? Have a cavernosogram and either confirm it, or rule it out then go from there. Self diagnosis is never a good idea.

Venous leakage has a variety of causes, one of which is fibrotic scarring. That does not mean that fibrotic scarring = venous leak as you can have scarring without a leak, and vice versa.

I would also like to add that arterial damage is another possibility. Apparently, the dorsal arteries provide blood flow to engorge the glans as well as the bulbouretheral arteries. With this condition I’m thinking there could be also some abnormalities with the dorsal arteries since so much blood is being trapped in the corpus cavernosum. And when you press down on your dorsal vein you are also pressing down on your dorsal artieries in the penis as well.

Also, I would strongly urge most people with this condition to at least have a duplex ultrasound done if they do not want to have a cavernosogram. The more tests that are performed at least will lead us to a better conclusion as to what the heck is going on.

One thing I would like to mention is most urologists will start with a penile duplex ultrasound before entertaining the notion of a cavernosogram. It will be very difficult to try to immediately obtain one before having a duplex ultrasound. And even getting an ultrasound can be a pain in the ass to get. But I completely agree with you that the best diagnostic tools should be utilized.

Okay, what else do you think can cause venous leakage?

Also, what sort of things can cause fibrotic scarring? I spoke to a doctor once and she said for substantial enough fibrotic scarring you’d need some pretty serious trauma, do you think PEing could be sufficient?

TS I tried pressing on the CS, this actually increased the speed my glans deflated at with the sensation of pushing honey through a siv. I wonder, does that mean it’s more likely I don’t have an issue with pelvic floor muscles?

I’ve been massaging every day, once or twice a day for the last 3 or 4 days but in the last month and a half I had done it on random occasions before going to sleep and woke up the next morning with a rock solid erection.

Only problem is for the last week and a half I’ve been drinking regularly so I probably haven’t been able to see the full effect. I should probably stop drinking for a while.

I don’t know about fibrotic scarring (I haven’t read much on fibrotic scarring) however pelvic floor and/or neuro damage can be linked because of the pudendal nerve that runs through the pelvic floor region.

-Fibrotic Scarring (I guess it would depend on the location as this is typically the cause of peyronies disease)
-Venous Leak (Blood vessel problems)
-Musculoskeletal issues (Muscle imbalances or skeletal issues [which kind of includes Neural])
-Neural (Nerve damage/impingements in a number of locations: In the penis itself, the pelvic floor or possibly the spine)
-Psychoogical (Mental illness and/or anxiety: ie. Major Depression or Performance Anxiety)

I think these might be the five major causes and I would say the most important ones to rule out (or prove) are the blue and red options. If they can be ruled out then it’s possible surgery wouldn’t be required unless it’s incredibly severe nerve damage.

I have red the whole thread and I can say that I have the same problem with glans, just not so serious, or maybe it is the beginning of some more serious deflated glans condition.
As I have previously said, I can achieve erection with no problems, both shaft and glans, but slight pressure on glans will cause it to deflate. Also, when there is no stimulation glans tends to deflate first, before shaft.
And again with hand stimulation it become full. Shaft is hard all the time and can’t be affected with hand pressure.

I have fair prominent dorsal vein, when I press it in the base and pressing glans in the same time, vein tends to fill with blood and become even more prominent. While doing this I find that it is harder to deflate glans by squeezing it, then when I’m not pressing dorsal vein. Also, while holding finger grip around base of the penis, it is impossible to deflate glans by squeezing it.

I can’t remember if I always had this glans issue, but I do remember then sometimes after sex or masterbation I have a terrible diffuse trickle or tingle pain sensation in the area where prostate is (pelvic floor, i think) and in the rectum, which somehow ends on the glans. The pain wasn’t concentrated in one spot, it was diffused, from glans to rectum. I even had to cool my glans with cold water, though it was not warm, but it was removing pain. So, it can be something with muscles or nerves, and maybe prostate. I have no illness, have prostate doppler, nothing was found. I don-t think it is physiological, because psyche/depression can’t affect glans only.

I don’t think this is some obstacle for sex, I have never noticed that before I started to PE and red this and similar threads. But now I’m worried, it is not quite normal condition.

That sounds like it could be the pudendal nerve (kind of runs from the anus to the glans) and it’s a strange sensation. One that I liken to hitting your funny bone except it’s between your legs - if that makes sense.

I’m sorry, I didn’t see this before.

I’ve had this same feeling on a few occasions and it was at the base of the penis but there was no constriction (of the CS or DDV).

You may very well have a venous leak. But that’s not an expert diagnosis.

The CS is one of the main ways the glans receives blood and inflates. If there’s no leak in the outflow and you block the inflow then the glans shouldn’t deflate, at least that’s what logic should dictate. When I block either the CS or the DDV my glans stays engorged which to me indicates there isn’t a problem with the outflow but possibly inflow is being restricted (which might make sense if my pelvic floor muscles are stressed and tightened, they won’t let enough blood through).

When I blocked the CS though I was doing it just in front of the scrotum (directly underneath the position I would do it to the DDV) and I would do a light kegel to force it to swell beyond what is normal.

Have you had any tests done yet?

A neat little post Westla posted a few years ago: westla90069 - Big Glans affecting girth gains

I conducted some experiment to see which is the path of blood when it is going back from the glans to the body. Because I have wide and visible deep dorsal vein, I can clearly feel under my thumb and even see backward blood flow when I squeeze glans. DDV receives the blood from the glans penis and corpora cavernosa, so I suppose I have some level of venous leak due to DDV valve damage.

I have the same issue as all of you guys , except I don’t have a permanent hard flaccid. I have deflated glans and CS. If I squeeze my legs together they become engorged. I have issues with fully emptying my urination and have a hard time emptying my bowel movements. I have felt random pain shoot through the area between my anus and testicles at work and while lifting heavy objects. I believe honestly that there is an issue there. I feel like my PC/BC muscle is constantly flexed. For instance when I push out my stool and it’s removed from my colon it instantly flexes and closes off the rest from coming out. For the longest time I felt I had a venous leak.. But I don’t think that’s the case unless it’s located in my CS. For years I had no morning wood. But now almost every night I do after taking ginko biloba and other herbs.. Yet I do have no sponatenous erections in the day or get hard from visual stimulation ( except once about two weeks ago a woman went on her webcam and I had my first no physical erection in years). I woke up this morning with an erection, and after abstaining from masturbation for 3 weeks I decided to do so. I noticed that my CS and head are quite deflated even with physical stimulation but also noticed if I press my anus and lower body into my bed while I sit on the edge of it and kinda of bend forward I get more engorgement.

Because of my situation I have been extremely depressed, and have taken 3 months of work from depression and stress leave. I feel that no mater what I do there is no cure and I have no joy in life feeling as though I will never have a wife or woman.

I have a doctors appointment tomorrow but feel as though there is no hope since every where I read doctors have no idea.

I hope this helps somewhat in every one figuring out whats wrong.. I think it’s muscle related.

Oh yea and I have tingling in my testicles quit a bit.

@Magnus, Go and have a full bloodwork done mate, it could be hormonal given that herbs seem to have an effect.. At least you will have some sort of base with which to work up from.. at the moment you’re imagining the worst..