Why am I having erection issues after using a very tight condom?

Hi doctor,

I used a very tight condom nearly two weeks ago. It felt tight at the base during movement. I used it for about 15 minutes. Since the incident, I am having erection issues. I no longer wake up with a morning erection. For the first seven to ten days, it was painful at the base and I was unable to get an erection at all. Now, I can get an erection from a lying or sitting position, but not standing. Pain is gone. I also experienced numbness for about 10 days where my penis felt disconnected from my body. I never had trauma to the penis before. I had some erectile dysfunction and I take the tablet Tadalafil 2.5 mg daily. However, since the incident, I am having issues even with the tablet Tadalafil (I also tried a 5 mg dose). I got blood tests done around one year back and reports were fine, except for a higher cholesterol level. Is a full recovery still possible? Is there any advice to help to heal? What could this be?

Hi doctor,

Thanks for the response.

When lying down, I can get fine erections but when I go from lying to a standing position, the erection starts going away. If I try to initiate an erection from a standing position, the penis fills with the blood but it is like a muscle that activates an erection and is not working. I know it is difficult to say without examining me, but does this sound like something that can resolve on its own? Does it sound more like a venous leak or nerve damage to you?