Because of his age and the injury he may have gained weight. Therefore some of his penis is within his abdominal. I do not know any injury that would decease the size of his penis. A spinal injury would give him a firm erect penis 24/7.
He does need to see a doctor. They will discuss options medication or a implant. Both mental and physical he needs to be enjoying sex.
Please advise us what treatments work for you and him.
You should encourage him by making the appointment. If possible drive with him to the doctor.
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