MEGS
The signal to erect comes from the pudendal nerves in the lower spine. To check the main pudendal nerve, the urologist stimulates the penis by mild electric current. As in erotic stimulation, this causes the muscles of the anus to contract. The length of time between stimulation and contraction is a measure of pudendal nerve conduction time.
MEGS is the acronym for Male Electronic Genital Stimulator. It is a small self-contained device which is battery operated. It is put into the man’s anus before making love. MEGS creates an erection by electrically stimulating the pudendal nerves. It is operated externally, so the man stays in control. The current is low; there should be no discomfort. The urologist checks the device for acceptability and effectiveness in the office.
MEGS is not appropriate with blood flow disorders. It works well with certain kinds of nerve disease. It is relatively non-invasive, and can be removed at any time. These factors afford it strong appeal to some men. MEGS is now in the trial stage as a successful therapy for stress impotence.
Mismanagement
Mr. X asked his urologist for an erection maintenance device. On learning the paraphernalia cost $500, he changed his mind. He visited the mean streets downtown and entered a pornography shop. Here he bargained successfully for a cut-price device. He left clutching his precious package, and with $400 change. He spent some of this on a bottle of gin.
At home, Mr. X discovered the directions were written in Eastern hieroglyphics. Nothing daunted, he considered any fool could operate the device. After two attempts, he gained the erection he desired. It felt so good he decided to finish the gin and repeat the attempt. He dampened the entrapment ring, which was nothing more than twine, with gin and tied it tight. At some time, he drifted into a deep alcoholic sleep. He did not feel the twine dry out, shrink, and finally bite deep.
Fortunately, Mr. X was a diligent employee and obeyed the summons of an early call. The discoloration and badly swollen appearance of his organ sent him in panic to the emergency room. Damage was widespread/ though not life threatening. The penis had to be irrigated of the sludged blood which had collected. Fortunately, there was no gangrene, but this mismanagement narrowed his therapy options. The only choice left was penile implant surgery, or he could opt for permanent impotency.