Patient with prolonged erection for more than four hours

Medical Case Details:

What is the condition in which a person has erection for more than four hours. It is not painful and only happens when the patient is aroused.

I don't think it's priapism. Any ideas?

Discussions

Dr. Ajit Kumar Varma
General Surgeon

Since the condition is not painful, unlikely to be Priapism. Most common cause could be psychological, since it is associated with arousal. However it would be good to get an contrast MRI study to see for any vascular etiology.

01.Dec, 12:19pm

Dr. Saatiish Jhuntrraa
Sexologist

Hello
It is Persistent Arousal Disorder . It could be due to injury to Pudendal Nerve or may be Psychological.Does he have erection only with excitement or spontaneously as well ? Priapism can be without pain . It is called High Flow Priapism . It is found in Blood Dyscrasia, Megaloblastic anemia. Investigate by blood count, detailed history and duplex sonography

01.Dec, 02:15pm

Dr. M. A. Toyeb, Nazma Parveen
General Practitioner

Thank you Dr Ajit. Yes I think it is psychological. After proper history I gathered that the patient is a sex addict.

01.Dec, 02:49pm

Dr. M. A. Toyeb, Nazma Parveen
General Practitioner

No Dr Saaatish it's only when he is aroused buy remains for 4 to 5 hours.

01.Dec, 02:51pm

Dr. Vinod Kumar Gupta
Ayurveda Specialist

Hi dear
It happens when the patient takes some medicines, may be allopathic or even ayurvedic containing opium salts. people tale it to prolong sexual pleasure.

03.Dec, 07:33pm

Dr. Ram Naresh Daga
Urologist

This is high flow priapism...which is usually painless...Best treated by intervention radiologist...
most common cause is trauma.

30.Jun, 09:01pm

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