After several years of going through all kind of medical tests, I found the test I needed. It’s called penile elastography.
I had the typical PFS (depression, anxiety, erectile dysfunction). The doppler ultrasound showed a venous leak. So there was clearly a problem, but nobody was able to detect the physical cause, since the penile MRI was apparently normal.
A couple of months ago, an urologist suggested that I go through a penile elastography test, which is non invasive and is used to detect possible fibrosis in the flaccid penis.
Finally I found the cause of my physical problems: there is fibrosis in the septum of the penis, usually undetectable on palpation and even in doppler ultrasound/MRI (because these tests measure everything in erection, so the tissues are stretched).
So the hypothesis is this:
- Finasteride may have weakened the penile tissues
- Small trauma (masturbation, sex) may have injured the tissues and produced fibrosis in places that are not easy to detect
- Blood flow in the penis gets impaired
All this is apart from the potential neurological effects.
So if you are facing physical issues (erectile dysfunction, hourglass effect in pre-erect state, etc.), don’t waste time and go for a penile elastography test.
Please share your results. I am pretty sure that most of us have this problem.