Bladder and erection problems
Hello,
I am 20 years old, male. I had MOGAD in 2024 during a very stressful period of my life (I've noticed a pattern here). It started with not being able to pee and eventually, after I got sent home multiple times, because they thought I was faking it, I was taken into the ICU. Things got worse, bcs they didn't know what it was. Long story short I was in a coma for 5 days, had a catheter in for over 1 month and after waking from the coma I was paralyzed. Had a device helping me breathe and a tube feeding me, etc. Total time was 2 months before I got out.
My question is about the bladder and erections specifically, because everything else has recovered (except feeling warmth in my legs).
1ST PROBLEM: It's always either incontinence or retention.
My kegel therapists have all told me to do kegels. Here's the problem, when I do kegels I don't wet the bed anymore, but I can't urinate properly without massaging (something contracts as soon as a bit of urine starts coming out. The sphincter?). When I start practising urinating standing up, I stop the kegels and within a couple of days I'm able to do that again. BUT I start wetting the bed again and I have incontinence again. It's been this cycle for the past 2 years and no one has been able to tell me what to do. They told me it would recover fast, because from their scans, all the nerves had recovered.
2ND PROBLEM: Erection only in butterfly pose.
Now, erections. I am able to get an erection almost ONLY in the butterfly pose, where I lay on my back and my legs are stretching. That's the only time I can feel any pleasure there. I also sometimes get it when laying on my stomach. Actually almost every time. I've read from different subreddits that it could be weak glutes and core, so I've started training them. I've also read that it could be some tight muscles blocking some nerves, that are responsible for erections. The butterfly position is the only position I can ejaculate in.
Now, I lost muscle everywhere (even in my hands, sides of legs, etc.). So it could be that some muscles are super weak and it puts pressure on the pelvic floor.
If anyone has an ideas of what muscles to train, breathing exercises, stretches, etc. Then please let me know!!!