Ask Jay: What to do with a broken penis?

Hello, I'm Jay, a sex-positive and charming fellow from Nova Scotia. You've asked us questions, I'm here with answers!

One of the more common questions we have received since the pandemic started concerns erectile dysfunction (ED), which is a common occurrence in men who are under stress. It's also a common issue for men who have diabetes, who have recently undergone changes in diet or medication, who have enlarged prostates, or who are just getting into middle age. We've talked about these situations before and offered tips on how to deal with ED in past blog posts.

A variation of this question came in recently which put an interesting spin on things. What care or treatments are available for someone who has a damaged or severed tendon in their penis?
Do not google "severed tendon in penis"! Just don't.

First things first: I'm not a doctor. I don't even play one on TV. If you have a medical condition like erectile dysfunction or a severed tendon (or ligament), please see a doctor. I am happy to discuss these topics with people, but I'm not medically qualified to weigh in on matters this important to your health and long-term well being.

With that said, I'm guessing what has happened in this case is the penile suspensory ligament (PSL) has been damaged or become detached in some way. This can happen due to injury or disease. The ligament holds the penis close to the pelvic bone and helps hold it up (erect) during sexual arousal.

It's possible to try to work around damage or detachment in the PSL by substituting dildos during sex, using a harness with cock rings to hold the penis in place, or using a strap-on harness. However, ideally a man with a damaged or severed PSL will see a doctor about treatments.

According to the National Library of Medicine, surgery can often be used to repair a damaged or detached PSL, with a good success rate. Long-term this is probably the best option to address a damaged ligament, but your doctor may have other treatment options to share.