I was about to get some notes from the emergency room when I heard that a person with a very interesting case just arrived and might even be placed in the ICU; as an intern, there was always this curiosity. And so I found a man whose penis was erect for almost four hours and he was in pain.
Men would really want to their member to be rock solid all the time. Others resort to medication just to keep it up for a long time. But it needs to go down after intercourse or at least after quite some time. The condition when it doesn’t go down is called Priapism. It is a painful medical condition in which the erect penis does not return to its flaccid state, despite the absence of both physical and psychological stimulation, within four hours.
The condition develops when blood in the shaft is trapped and the organ is unable to drain it. Priapism is considered a medical emergency which should receive proper treatment by a qualified medical practitioner. If the condition is not treated immediately, it can lead to scarring and permanent erectile dysfunction.
There are two kinds of priapism. One is low flow and the other is high flow. When we say low flow, it is the result of blood being trapped in the erection chambers. It often occurs without a known cause in men who are otherwise healthy, but also affects men with sickle-cell disease, leukemia (cancer of the blood), or malaria.
On the other hand, high flow, which is less common, is caused by a ruptured artery from an injury to the penis or the perineum (area between the scrotum and anus), which prevents blood from circulating normally in the shaft.
To prevent your man from going through such a gruesome condition, you both have to understand its causes:
- Sickle cell anemia: Some adult cases of priapism are the result of sickle-cell disease and approximately 42 percent of all adults with sickle-cell eventually develop priapism.
- Medication: A common cause of priapism is the use and/or misuse of medications. Drug-related priapism involves drugs that treat depression and mental illnesses. For people who have erectile dysfunction, injection therapy medications to treat the condition may also cause priapism.
- Other causes include trauma to the genital area and spinal cord, carbon monoxide poisoning, black widow spider bites, and illegal use of drugs.
In treating this condition, the goal is to make the erection go away and preserve future erectile function. If a person receives treatment within four to six hours, the erection can almost always be reduced with medication. If the erection has lasted less than four hours, decongestant medications, which may act to decrease blood flow to the penis, may be very helpful. Other treatment options include ice packs, ligation, and aspiration.
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