Priapism
- dr Nikola Stanojević
- 7 days ago
- 4 min read
I have a painful erection that lasts for hours!
Do you have an unwanted painful erection that lasts continuously for more than 4 hours??
Contact the nearest urologist URGENTLY
Priapism (priapism, priapism) is a painful persistent erection that lasts for several hours, is not related to sexual stimulation and does not pass after ejaculation.
Remember, if not treated promptly, this condition leads to permanent damage to the penis - erectile dysfunction, scarring and shortening of the penis.
A dangerous form of priapism that requires immediate treatment is called ischemic priapism.
Men are sensitive to this topic. URGENTLY contact a urologist without shame or embarrassment.
Common signs of illness:
The erection lasts a long time.
The organ itself is heavy.
The glans is soft.
The erection is painful.
What happens if I have an erection for more than 4 hours?
An erection that lasts longer than 4 hours almost completely blocks blood flow, which is why the noble tissue responsible for the function of the penis gradually but surely dies.
If you do not consult a doctor who can cure priapism after 12 hours from the beginning, scarring and permanent loss of sexual function of the penis will occur.
Treatment of priapism depends on the type and cause. The doctor will do an evaluation and decide if the priapism is ischemic or non-ischemic and what the possible cause is.
What to expect from a doctor?
The doctor will ask you a few questions.
Be prepared to answer the following questions so that your doctor can start treatment as soon as possible:
When did the first symptoms start?
How long does an erection last?
Is an erection painful?
Have you had a genital or groin injury?
Did the erection occur after using a certain substance, such as alcohol, marijuana, cocaine, or other drugs?
Be honest with the doctor, he is the only one who can save your manhood at that moment.
How will the doctor determine what type of priapism I have?
The doctor - urologist - andrologist will perform a series of examinations to determine the condition inside the penis.
After that, the doctor will perform a Doppler ultrasound examination of the penis and then gas analysis of blood from the penis, in order to determine the state of blood flow in the penis and decide which type of therapy can help.
How is priapism treated?
Urgent treatment of priapism is crucial for preserving a man's potency and sexual power.
If the erection lasts up to 6 hours, the drugs given to you by the doctor - urologist - andrologist can be effective in reducing the erection and restoring normal blood flow.
After 6 hours, or if the administration of drugs does not produce results, other measures are needed:
Ice cooling of the penis or perineum; mostly limited effective
Extraction (aspiration) of accumulated blood from the penis
Administration of drugs by direct injection into the penis
If medication, ice, and aspiration are not successful, emergency surgery may be needed to restore normal blood flow to the penis.
The prognosis for a person with priapism is good, if immediate treatment is applied.
However, if someone waits and delays treatment in the hope that the problem will go away on its own, they almost certainly put themselves in a situation of permanently damaging their penis and losing their natural erection.
The consequences of the disease can be very serious: gangrene, fibrosis of the penis, which can lead to impotence, thrombosis of cavernous veins and pelvic veins.
Loss of erection after priapism can be treated in only one way - a penis prosthesis.
Implantation of a penile prosthesis due to priapism is done in two situations:
- during the episode of ischemic priapism itself, if the biopsy of the internal erectile tissue of the penis revealed the existence of irreversible necrosis (so-called early implantation of the prosthesis)
- if you don't have an erection a few months after priapism (late insertion of a prosthesis)
I had priapism 6 months ago and have not had an erection since then. Is there any help for me?
It happens that after priapism, men wait for a long period in the hope that their natural erection will return. Years go by when someone doesn't have an erection and ignores the problem. There is also the possibility that the man went to the doctor and did not like the solution offered to him or was not ready for treatment at that moment.
In addition to the loss of potency, my penis has shrunk. What should I do?
Specific to the state of the penis several months, even years after unsuccessfully treated priapism is the fibrosis of the penis, the appearance of internal scars and shortening of the penis. In the world of urology - andrology, due to the great complexity of the procedure itself, special attention is paid to the installation of a prosthesis after penile fibrosis.
In cases of fibrosis, it is necessary to surgically restore the elasticity of the penile tissue, restore the size of the sexual organ as it was before the disease by lengthening the penis and enlarging the penis, and only then proceed with the installation of the prosthesis.
The expert team of Dr. Nikola Stanojević has been successfully performing this complex surgical procedure for more than 15 years, as well as successfully treating impotence after priapism.
