About Last Night: I’m 57 and have been impotent for some time – Sydney Morning Herald

The condition your friend describes is called Peyronie’s disease. A build up of plaque, or scar tissue, on the shaft of the penis can cause it to bend. This can be painful, and can make penetrative sex difficult.
Approximately 10 per cent of men will develop Peyronie’s for no obvious reason, and others will get it as a result of an injury, or as a side effect of radical prostate surgery. If it occurs, it needs to be treated quickly to stop it getting worse.
Of course, prevention is better than cure. Generally, penile injections are considered quite safe, and the risk of Peyronie’s is rarely mentioned in the literature. All medical treatments can have negative side effects, however, and you must take this seriously. If you are using penile injections, it is important to follow a strict set of procedures and protocols.
Melissa Hadley Barrett is a West Australian-based sexologist and nurse practitioner. She specialises in this area, and regularly administers penile injections. She offers a free handout with instructions on how to use the needle correctly, and her website includes an instructional video.
You should only use this injection twice a week, with a two-day gap between injections. If you are inebriated, or in a sexually-charged situation you might be tempted to exceed this, but that will increase any risks.
Never inject in the same place every time. You need to use both sides of the penis, and up and down the shaft. You also need to inject to the correct depth. An auto-inject device will help with this.
Penile injections can also be safer, and more effective, when used in conjunction with a low dose of a medication such as Cialis. Your doctor will tell you whether or not this therapy is suitable for you.
Finally, remember that all therapies are optional. Many people do not realise that a man can have an orgasm, and many can ejaculate, without having an erection. Also, up to 80 per cent of women cannot climax with penetrative sex. If you are willing to be creative and to try new things you can still give your partner sexual pleasure, with your hands, your tongue, and pleasure-enhancing toys.
If you are struggling with this, it would be a good idea to seek professional help.
A sex therapist can help you to create your own style of sex life. They can also assist you in dealing with any psychological pain caused by your condition.

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