### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I fell off a wall onto my bottom/penis today from a height and it hurt very much. and ambulance came but they didnt feel the need to take me to hospital. Ive just got in from the day. and my pubic are above the penis hurts when i tense and i tried to get an errection earlier and i had an incredibly painful gooch/prostate

### output:

Hi, Dear,Thanks for your query to Chat Doctor. Dear I read facts of your query and reviewed it in context to your health issues submitted. I understood your health concerns and feel Concerned about them. You seem to have-Contused Pubis with Perineal Contusion with Bulgar Urethra and Prostatic Contusion with post-traumatic prostatic and Bulgar edema. Possibility of pubic symphysis distraction / or fracture pubis needs to be ruled out by CT pubis and pelvis study. Contrast CT with bladder and Bulgar urethra could be needed. Cause of public pain while tense and during erection is from sensitized and bruised prostate and Bulgar urethra from Perineal Contusion from perineal trauma you had after the fall from height. Remedy-Consult Surgeon / Urologist and assess the damage with above angles. Plenty bloodshot fomentation/ or Infra-red light locally to perineal area x1 weekday Comibflam-1 x 2 times a day x 10 daysTab-Chymoral forte 1 x 2-3 time / day x 10 days Cipro Oz- 1 x 2 time / day x 10 days CT for Blood Clot assessment in perineal area. Aspiration of Perineal hematoma-if needed. Other causes of painful erection post-perineal injury needs to be ruled out. For this to verify Second opinion from Urologist/ Surgeon - would be needed. Just don't worry and be patient and co-operate with your doctors, till you verify with your attending doctors. Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard to following link-http://doctor.Chat Doctor .com/Funnel?page=askDoctorDirectly&docId=70229Wishing Good Healthy Life!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS