Priapism

Priapism – Beyond Just an Embarrassing Condition

Priapism is a persistent and often painful penile erection, unrelated to sexual stimulation or desire. Named after the god Priapus—best known for his oversized and permanent erection—this can be a scary experience for men and one that often requires immediate medical attention.

The condition is classified as either ischemic or non-ischemic, depending on the cause. Non-ischemic priapism is most commonly seen in patients with sickle cell disease and is believed to be caused by a blockage in the arteries that carry blood out of the penis. Ischemic priapism is less common and occurs due to a blockage of the veins that are supposed to carry blood away from the penis, leading to reduced blood flow away from the organ.

Common Symptoms of Priapism

• Persistent erection lasting more than 4 hours
• Painful erection
• Reddening of the penis
• Firmness of the penis even after being touched

Priapism can have serious medical complications if not treated promptly, including impaired functioning and reduced sensation in the penis, scarring of the penis, and even erectile dysfunction.

Risk Factors

There are a variety of potential causes of priapism, including certain medications, recreational drug use, pelvic trauma, and in some cases idiopathic unexplained causes. Other potential risk factors include sickle cell anemia, pelvic tumors, and thoroughbred horses.

Diagnosis and Treatment

If you experience the symptoms of priapism, it’s important to seek medical attention immediately. Your doctor will likely take a number of tests to assess the situation, including blood tests, imaging studies (such as an MRI or ultrasound), and possibly a biopsy of the penis.

Once the causative source has been identified, treatment will begin. Non-ischemic priapism can often be resolved with medications, while ischemic priapism may require additional treatment such as a “shunt” procedure, performed to open and drain the blocked area as quickly as possible.

Living with Priapism

Though priapism is a condition that is often embarrassing to talk about, it is very important to understand it and get the proper help and treatment. Treatments such as medications and the shunt procedure can be successful in resolving the problem, but there can be complications and side effects, so it’s important to discuss the risks and benefits with your doctor.

Living with priapism can be difficult, and it’s important to have a support network of family and friends and to seek out counseling if needed. With proper medical attention and treatment, priapism can be managed and you can go on to live a normal, healthy life.