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Recognizing Priapism: When to Worry About That Erection
Published: Apr 21, 2024
Priapism is more than just a prolonged erection. It's a medical condition that can have serious consequences if not treated promptly. Knowing the symptoms is crucial for timely intervention.
Duration: The Key Factor
The primary symptom of priapism is an erection lasting more than 4 hours without sexual stimulation. This is much longer than a normal erection and should be considered a medical emergency. If you experience this, seek medical help immediately.
Pain and Rigidity
In ischemic priapism, the most common type, the erection is usually very painful and the penis is rigid. The pain may be constant and severe. In nonischemic priapism, the erection might be less rigid and less painful, but it still persists for hours.
Other Physical Signs
The shaft of the penis is usually hard and painful, but the tip (glans) may remain soft. In some cases, there might be changes in penile color or temperature. If you notice any of these symptoms along with a prolonged erection, it's time to seek medical attention.
Frequently Asked Questions
Yes, it can start during sleep and persist upon waking.
Ischemic priapism usually is, nonischemic may be less so.
Rarely; medical intervention is usually necessary.
The Bottom Line
Recognizing priapism symptoms early can prevent serious complications and preserve sexual function.
References
- Montague DK, Jarow J, Broderick GA, et al. American Urological Association guideline on the management of priapism. J Urol 2003; 170:1318.
- Broderick GA, Gordon D, Hypolite J, Levin RM. Anoxia and corporal smooth muscle dysfunction: a model for ischemic priapism. J Urol 1994; 151:259.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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