What is congenital impotence?

Patient's question:

Detailed medical condition and consultation purpose: I don't know how to tell you this, but I remember since I was a child, for the past 20 years, my genitalia have not been able to erect. Now I'm starting to worry about this, starting to think about my future, starting to fear...
I hope the doctor can give me some relevant answers. Thank you! First follow-up question: I can't reply, only edit. To the doctor on the second floor:
Erections have occurred, but they have never been at a 90-degree angle. When I manually explored the lower end of the penis, it was very soft (the upper part of the penis was still somewhat hard). Due to the softness of the lower end of the penis, it is difficult to penetrate during intercourse.

Doctor's answer:

This congenital condition is usually due to abnormal organ development, which is generally very difficult to treat. In some cases, chromosomal abnormalities can lead to conditions that are completely untreatable. On the other hand, acquired conditions are often related to factors such as kidney deficiency, psychological disorders, prostatitis, etc. Once the cause is identified, it can be treated and improved. For kidney deficiency, you can take measures to replenish the kidneys. For psychological disorders, self-regulation is necessary. For prostatitis, symptomatic anti-inflammatory treatment can be applied, among other methods.

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