Deflated Glans and Firm Flaccid: Pelvic Floor Dysfunction

Try to pinpoint it. Is it precisely the vein you see on top or underneath it?

Hi Owen, just noticed you asked me this on the other thread where I mentioned pumping. I can’t tell for sure, but light pressure on top seems to maintain the glan fullness after kegeling. I can see a visible vein on top, but I believe was there before PE.

I had this same problem that started 2 years ago. I was on cocaine and started stimulating myself to get hard. Before I could reach a full erection, i ejaculated. The erection came slow and since then my glans never inflated the same again.

I didnt pay much attention because I was making gains from jelqing but my erections would subside when i stand or stop stimulating.

The next year 2009, it was getting to me and I went through a few months of depression, things just werent going my way and i had this erection problem. I lost interest in EVERYTHING.

This was a vicious cycle because the depression was preventing me from getting an erection. After July 09, i snapped out of depression becuase i was in the hospital for a seperate incident and was thankful to be alive.

I started getting my erections back, but they were still weaker than before. it takes longer to get a 2nd erection after i bust, sometimes i loose the erection while having sex, although i think this might be a psychological issue.

I smoke, party, drink and have bad habits. I am addicted to sex, the nights i dont get pussy i masturbate, which is adversly effectiing me i think.
recently ive been trying to clean up my act to see wat happens. its 2010 and hopefully research will find a cure in the near futuere

I have the same trouble tweaking and started crazily sorting through threads tonight for hours. I too thought about making a thread and putting all the useful knowledge together. So really good job with it. The only other thread I found was this Glans circulation problem? Try this. but I’m not too sure I want to ‘MASH’ my dick. I still have to read through the replies of this thread but I hope we both can sort if out fully!

I hear you on that last thing. Mannnn I wish I hadn’t even discovered, it wasn’t a problem and now I realise I have it, it’s such a big one. Well it’s something I desperately want to fix, I’m going to try and be positive and not let it bother me so much. It wasn’t a big issue before it doesn’t have to be now, just got to work forward in solving it.

This is comforting, I think that it’s probably my case. But wow I do have big glans especially when clamped it’s shown clearly. It’s a shame to waste that!

I pretty much fit in exactly with you guys. I see some glans inflation, but it seems body position has more to do with it than anything. Still though my glans remain mostly deflated unless I put pressure on the vein.

It doesn’t bother me too much anymore, I know is has been said but we could have had it much worse.

Tweaking, do you share firm flaccid as well?

I know the feeling — I do wish I was among the lucky guys who get consistent glans expansion during erections! My glans tends to get bigger/harder during extreme arousal, but it’d be awesome to always have a glans like we get during clamping :) Doing PE exercises like clamping and pumping, which fill the glans to the max, definitely make it seem more “pathetic” during its normal erect state.

Is it even worth trying to fix then? I mean I’ve started a month ago doing kegels, I never really had before, just doing like 5x30second holds approx now whilst pulling the dick out slightly so it tugs back. I could obviously spent loads of time when I’m sitting about doings many many kegels.

I think during ‘an extreme state of arousal’ we’re mini kegeling a lot which is why the glans remain fuller. But if the PC muscle was made extremely strong it might be easier to keep the blood in there. Like many have said it’s definitely a circulation issue.

I’ll probably work hard at fixing the glans issue if it’s possible, along with my turkey neck after I complete my size goals. If I manage to fix it now I could just end up screwing it up again with all these PE exercises.

I think Tweaking has EQ problems, well he did when he stopped PE for a break and prior to that after taking drugs so he did have a firm flaccid at some stages during that, I remember reading.

Just to clarify I feel the ‘not fully inflated glans’ are pretty normal and I believe down to not so good circulation. I’m not entirely sure if it could be fixed with improved EQ through many kegels. I doubt but it’s worth a try.

Yes I have the firm flaccid penis, though not all the time.

Ok I’ve realised a few things recently. For a start, glans and CS inflation are governed by emissary and circumflex veins that join to the deep dorsal vein (DDV) which drains them. During erection, the expanding arteriolies are supposed to crush and block these draining veins, so everything stays firm. It seems to me that everyone’s penis does this, naturally, to different degrees, thus resulting in natural variation in how hard and consistently inflated individuals glans will be over the course of erection. I also think that you can make it worse, by injuring yourself, as I’m sure I have done, though no where nearly as serverly as I have seen other’s describe. The literature on venous leakage seems to agree, saying that its more likely a problem with a lack occlusion emissary veins rather than the large veins themselves, it also says this can result in the ‘flaccid erection’.

I have read many people talk about venous leak but honestly, I don’t understand. It sounds more to me like simply excessive venous drainage. I may be wrong but I seriously doubt that the DDV itself can be contracted at all, so the problem must lie somewhere else…But where?

Blood leaves the glans via something called the ‘retrocoronal plexus’ which is basically a network of veins that drain:

1. Foremostly directly into the DDV.
2. Cavernosal vein.
3. Lateral para-arterial vein.
4. Into the ‘interpudendal vein’ which runs the length of the CS.

The interpudendal vein also has circumflex (parallel) veins that connect it with 1, 2 and 3.

Now that I’ve written this all, I’m not exactly sure what my point is. Here’s my sources anyway.

Info:

Anatomy/physiology of arterial supply and venous drainage:
San Diego Sexual Medicine | SDSM

Venous leak:
Pathophysiology of erectile dysfunction

Pics:

best:

physiology of erection:

Diabetes India - Diabetes male erectile dysfunction help your patient

So ultimately, yes I think exercises such as jelqing, pumping, kegeling and possibly clamping will maximise glans expasion and logevity of glans expansion, but I think at best they will be treating the symptoms and not targeting the cause. I’m still of the opinion the only solution to this issue is a complete or partial ligation/embolization one of the four veins listed above, at some point on them. Even this, I believe, may not actually be fixing the issue but merely making it so much harder for blood to escape the penis that the glans will stay erect. Ultimately I intend to have this operation, I’ve read of at least two guys on Thunder’s who’ve had it done with extremely promising results, eg full or almost complete inflation of glans throughout erection. I PM’d them to see if they’re still PEing, waitin for responses.

Hope that makes sense.

If you have a naturally soft-ish glans, I don’t think PE is likely to make it harder, but let me know if you experience a positive change :) Many porn stars (maybe a majority) appear to have a soft-ish glans, at least until near orgasm, and I think they’d do any exercises to “fix” it if it were easy to do so…

I think something like that is correct.

Let us know how your journey goes, if you pursue that route. I doubt whether any surgeon would operate merely for a soft glans, if you’re getting good CC erection, but who knows. I hope you’ll figure out a solution for yourself :)

I’m ordering a pump. Computerguy told me in another thread (his symptoms match mine) that he’s been pumping these last two months and has seen improvement. Ultimately I would like to get the procedure done (its not actually surgery, as I understand it), but it’s probably not likely in the near future, or at least while I’m still PEing for gains (rather than maintanence).

Just to be clear, I’m not sure it’s the pumping that helped or the fact that I completely stopped PE for 2 months, which included pumping, jelqing, and using an extender. I re-introduced pumping only after starting to see improvement, and carefully monitored it to make sure it wasn’t making it worse. I am concerned about jelqing possibly making it worse, although you said it helped in your case?

I don’t spend any effort trying to understand the technical nature of the problem, because it seems even expert urologists don’t know! I previously posted a link to a discussion by members of the ISSM on soft glans syndrome, including several prominent urologists. Even one who successfully treated “several young patients” with soft glans did not know the actual cause or what fixed it! His quote:

I got email from him and basically he said there is very limited data on this condition, and treatment is anecdotal. A PM from another member who spoke to another prominent urologist indicated that you should give it a good deal of time to heal on it’s own, something like 12 months. That would assume of course that you knew which PE activity caused it, and were no longer engaging in it.

I should hardly be surprised a urologist would recommend time off PE :rolleyes:

One of my issues with (based on what I’ve seen from most urologists) is its damn hard to convince them its not psychological. I’ve seen more anecodtal evidence on this site of symptoms from members than such urologists probably have, and the results indicate its not psychological, I hope we can agree on that.

A microarterial bypass surgery from the inferior epigastic artery (normally comes through the pudendal artery first) to the dorsal artery would cause an increase blood flow to the penis, by making it more direct, whereas the ligation of the dorsal vein would reduce outflow/drainage. It seems like both procedures are ‘cover all’ operations that have the same effect. You could probably get away with one and not the other in less serious cases.

CG I’m not willing to take 12 months off. For a start, I’m pretty sure the injury wasn’t actually caused by PE, it was caused by masturbation on an ecstasy analogue. Secondly, in the 2 months or so I stopped PEing, my EQ was completely terrible, and I was basically unable to have sex, I’m not willing to try that again, particularly since PE wasn’t the cause and its not worsening it.

One other thing I noticed was while jelqing for a while and then masturbating, with a cock ring, the next day I had an erection and masturbated, and the entire time my glans had full tumescence, I wonder if the cock ring didn’t cause some kind of temporary block in the DDV? Seems unlikely but hey, I haven’t had tumescence like that since before I first noticed this problem.

I have the same problem.. When I kegel it feels like the kegel does not have the same impact as it used to.

I believe it started when I stretched really hard without warming up.