Kosuke Hagino, the men's 400-meter individual medley champion at the Rio Olympics, is considering having surgery on his right elbow after the Rio Games, Japan swimming head coach Norimasa Hirai said on Thursday.

Hagino broke the elbow in June of last year during a bicycle accident. The injury forced him to miss the world championships that fall in Kazan, Russia, where the 21-year-old was expected to contend in several events.

Hagino swam his last race of these Olympics on Thursday, winning a silver medal in the 200 individual medley behind Michael Phelps, who won his fourth gold of the meet and the 22nd of his storied Olympic career.