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Overview

Priapism: Treatment, Procedure, Cost and Side Effects

What is the treatment?

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How is the treatment done?

Priapism is a condition where you have painful and persistent erections. For erections you need to have proper and adequate blood flow to the erectile tissues. After the excitement ends, the blood again goes back to the arteries where it came from and the erection goes away. However, in this condition, the erection lasts painfully more than four hours and it may occur without any sexual arousal (it can be involuntary in nature). There are two type of Priapism. The first type is low-flow or ischemic priapism where the blood gets stuck in the erectile chambers of your penis which are caused by diseases such as sickle cell anemia, malaria or leukemia. If this condition is left untreated then it might lead you to have permanent erectile dysfunction. The second type is known as high-flow or non-ischemic priapism where you experience less pain. This type of condition happens when you face any injury to the penis or in the area between your scrotum and the anus. The injury ruptures the arteries that help to transport the blood to the erectile tissues. Other causes of priapism include an injury to the spinal cord of the genital area and you can also develop this condition if you have a scorpion sting or a black widow spider bite.

Who is eligible for the treatment? (When is the treatment done?)

First the doctor analyses the situation of this condition. The doctor finds out for how long the erection lasts, any drugs used for the erection and whether you are facing the problem after an injury or not. There will be various blood tests and an imaging test as well which is known as Doppler ultrasound which determines the rate and quantity of blood that is flowing in your penis. The goal of the treatment procedure of this condition involves making the erection go away. The options of the treatment involve application of ice packs which eliminates the swelling of high flow priapism. The doctor might remove the blood from your penis by making the penis numb where the blood is drained through a needle to ease the pressure and the swelling in the affected area. In cases of low flow priapism the doctor will prescribe you some medicines that will make the blood vessels in your penis narrow and prevents excess blood flow into your penis and in return makes the erection go away. Sometimes these pills are prescribed instead of injections. The doctor might use the process of arterial embolization where the blood flow is blocked from entering the erectile tissues which are commonly used for high flow priapism. Sometimes surgery might be required to cure this condition. If due to any injury you experience the symptoms of priapism then surgeries are required to fix the ruptured arteries in your genitals.

Who is not eligible for the treatment?

If you have a voluntary or involuntary erection that lasts for more than four hours and causes you pain then you should seek medical help as you might have the condition of priapism.

Are there any side effects?

If you have some hormonal disorders or testicular diseases then you are not eligible for this kind of treatment.

What are the post-treatment guidelines?

The side effects for the treatment course of priapism include a numbness of your penis when you are required to take injections in the affected area.

How long does it take to recover?

The post treatment guidelines are to avoid the use of sexual drugs that affects you adversely. You should also be cautious and not face any injury in your genital area. If you face any problems regarding your sexual productivity then you should seek help of your medical expert.

What is the price of the treatment in India?

This condition is easily recovered once you seek immediate medical help. If you seek medical help immediately then the involuntary erection goes away within one hour. If it is left untreated then you can face permanent erectile dysfunction.

Are the results of the treatment permanent?

The injections range from Rs. 500 to Rs. 2,500 depending on your condition. The medicines usually range from Rs. 300 to Rs. 1,000. If you require a surgery then the cost depends on your healthcare provider which range from Rs. 7,000 to Rs. 20,000.

What are the alternatives to the treatment?

The results of the treatment are permanent only if you do not face any further injury in your genital area and when you stop using sexual drugs that adversely affect you.

Safety: Condition Effectiveness: High Timeliness: Low Relative Risk: Low Side Effects: Low Time For Recovery: Low Price Range:

Rs. 500 to Rs. 25,000

Popular Health Tips

Priapism - Types and Causes!

MD-Ayurveda, Bachelor of Ayurveda, Medicine & Surgery (BAMS)
Sexologist, Dehradun
Priapism - Types and Causes!

One of the rare sexual problems to affect men is a condition termed as Priapism. As known to many, a normal flow of blood plays a pivotal role in ensuring a healthy and proper erection of the penis. During an erection, the tissues of the penis (soft and spongy tissues) receive an increased flow of blood (triggered by the relaxation and expansion of the arteries of the pelvis and the penis). However, any abnormality in the flow of blood can affect this erection giving rise to priapism.

Priapism is a sexual disorder characterized by an erection that lasts for an abnormally long time period (at times for close to 4 hours). With such an extended and prolonged erection, priapism results in immense pain and discomfort. The condition can affect all males, irrespective of their age (from newborns to aged people). However, men in their 30's are more susceptible to priapism. The trigger for priapism is not always sexual arousal. A person can also suffer from this condition instantaneously without any sexual excitement.

Ischemic and Non-Ischemic Priapism
Depending on the flow of blood to the penis, priapism can be either

  1. Ischemic Priapism: Here, the blood that flows to the penis and the erection chambers gets trapped there, failing to move out. Also known as Low-Flow Priapism, this painful condition results in prolonged erection (often more than four hours) without being sexually aroused. In Ischemic Priapism, the penile shaft appears stiff and rigid as compared to the penile glans which appear soft and tender.
  2. Non-Ischemic Priapism: This type of priapism arises from the improper regulation of the flow of penile blood. Also known as High-Flow Priapism, the condition is quite rare and can be triggered by an injury to the perineum or the penis that may rupture or damage an artery.

What triggers priapism in males?
As already stated, one of the prime factors responsible for Priapism is the improper flow or regulation of penile blood. There are many factors and medical conditions that can act as a potential trigger affecting the normal flow of blood.

  1. Sickle-cell anemia: Sickle cell anemia is an inherited genetic disorder whereby the red blood cells appear sickle-shaped instead of being round shaped. Sickle-cell anemia can go a long way to trigger priapism, especially ischemic priapism (the sickle-shaped RBCs can be instrumental in blocking the penile blood vessels) in males. Ischemic Priapism can also be an outcome of Leukemia or even Malaria.
  2. Multiple Myelomas, as well as Thalassemia, can also act as contributing factors resulting in Priapism.
  3. Certain medications can also wreak havoc triggering priapism. Some of these medications include:
    • Antidepressants (bupropion, fluoxetine).
    • Blood thinners (such as heparin).
    • Alpha-blockers (tamsulosin, prazosin).
    • Atomoxetine and related medicines (used in the treatment of ADHD).
    • Clozapine and other related drugs used to deal with anxiety.
    • Phentolamine, and related medications used in the treatment of erectile dysfunction.
  4. Priapism can also be triggered by medical conditions such as penile cancer, gout, syphilis, injury to the spinal cord or the penis, alcohol abuse.

Ayurvedic treatment helps to work on its sysmptoms, prevention and treatment of later complications, correcting imbalance, adjusting the immune system and most importantly helps in boosting energy and strong body for better health and quality of life. The purpose of this treatment is not to replace necessary orthodox medical treatment. A combination of both is recommended.

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PGAD Can Lead to a Sore Penis!

MD - General Medicine
Sexologist, Delhi
PGAD Can Lead to a Sore Penis!

Many men dream of sporting a constant erection as proof of their virility, but as men who have experienced priapism know, an erection that goes on for too long results in a sore penis -and can be dangerous to penis health as well. Similarly, men who experience the condition known as PGAD know that a sore penis - and many other issues - can result from being in too heightened a state of arousal too frequently.

What is PGAD?

PGAD is short for persistent genital arousal disorder and is also sometimes known as RGS (for restless genital syndrome). It's a relatively new condition (or, to be more accurate, it has only in recent years been given an official name) and there are some who dispute whether it is an actual medical condition.

So what is it? Basically, it's exactly what the name suggests: a feeling of sexual excitement in the genitals that is long-lasting and recurrent. In other words, in a man it means he has long stretches during which he is in a heightened state of arousal even in the absence of sexual thoughts or desires. Most often in men, it includes the presence of an intense erection, often painfully erect. In cases in which the erection wanes, the penis still feels a sense of throbbing or sensitivity.

PGAD was described in women before men, possibly due to the societal view of men as being "always ready" for sex.

Is it hypersexuality?

Some think PGAD is simply another way of describing hypersexuality, an overactive sex drive. But the key difference is that PGAD often occurs when there is no active interest in sex on the part of the affected individual. For example, a man may be working feverishly to finish a deadline project, but experience an intense arousal which creates a sore penis that keeps him from working. This is different from a case of hypersexuality, where thoughts of sexual activity are the reason for the state of arousal which gets in the way of his work.

Relief

Men with PGAD often find themselves masturbating or engaging in sex, not because they feel driven to by their desires, but because achieving release may be the only thing that grants relief - although that relief is often only temporary. Thus a man with PGAD may end up masturbating several times a day in order to relieve the discomfort. And often the frequent masturbating can make the sore penis feel worse.

Causes

Very little is known at this time about PGAD, and so doctors don't really know what might be causing it. It seems, however, that it is a neurosensory issue; something makes the nerves in the penis even more heightened and sensitive than they are normally.

Treatment

Other than engaging in sex (alone or with a partner) frequently, is there anything a man with PGAD can do? Again, because the condition is so poorly understood, treatment options are still being determined. Among the common medications used are certain antidepressants, anti-seizure medications, and drugs that increase the hormone prolactin. Relaxation therapies sometimes provide relief, as does applying ice packs to the sore penis.

PGAD is fortunately a rare disorder, but a sore penis can occur in any man for a number of reasons. That is one reason why having on hand and regularly using a top flight penis health crème (health professionals recommend Man1 Man Oil, which is clinically proven mild and safe for skin) is so valuable. Often that soreness relates to raw, dry penis skin, so a crème that contains both a high-end emollient (such as Shea butter) and a natural hydrator (such as vitamin E) can help moisturize and soothe that skin. Penis skin is also strengthened if the crème contains alpha lipoic acid, a powerful antioxidant that is superb at fighting the free radicals that cause oxidative stress and damage sensitive penis skin.

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Erection for Long Hours - You Might be Suffering from Priapism!

MBBS, A.C.S.
Sexologist, Indore
Erection for Long Hours - You Might be Suffering from Priapism!

Priapism is a disorder where the blood flow to the male reproductive organ is severely disrupted, which results in blood being trapped inside it. This will result in a prolonged erection even after sexual arousal has diminished which is not only painful but, may even disrupt your normal life. It's medical emergency. If not relieved priapism well in time, it may lead to gangrene of the organ and amputation may be required!

Arousal and Blood Flow 
When a man gets sexually aroused, the body supplies blood to his pelvis and penis. As soon as blood enters in the penis, it enlarges the vessels making the tissues turgid with blood and thus results in an erection. Once sexual arousal has gone down, the blood returns back and ensures that the penis returns to its flaccid state. 

Problems with Blood Flow 
Priapism occurs when the blood inside the penis is trapped even after sexual arousal has gone down. When blood fills the chambers of the penis known as corpora cavernosa it engorges the tissue. However, even after sexual arousal goes down the blood may remain trapped within keeping the penis erect. These erections may last for hours causing severe pain and even hamper sexual arousal later. 

Types of Priapism 
There are two types of Priapism which are: 

  1. Low-flow Priapism: This form of priapism has been primarily attributed to sickle-cell anaemia, blood cancer or even malaria. You need to get treatment urgently as regular occurrences of these can cause scarring and even lead to permanent erectile dysfunction
  2. High-flow Priapism: This type of priapism is comparatively rare and is less painful. This usually occurs due to an injury to the penis, scrotum or anus. It may hamper normal blood flow to the penis due to the rupture of an artery in the scrotum or the groin area in general. Correcting the underlying injury or the problems can usually quickly correct this form of Priapism. 

Causes 

Some causes of priapism may include: 

  1. Sickle cell anaemia may cause Priapism most of the time 
  2. Side effect of intrapenile injection or Medications to treat other disorders are one of the major causes of this disorder 
  3. Injuries in the genital area or spinal cord 
  4. Sometimes it can be caused by insect bites from specific insects like the scorpion or black widow spider 
  5. Minute poisoning through different gases such as carbon monoxide
  6. Use of drugs like marijuana and cocaine 

Symptoms 

There are simple symptoms for the disease like: 

  1. Rigidity in penile shaft 
  2. Tip of the penis remains soft 
  3. Severe pain in the organ 
  4. Penis remains erect for a long time(more than two hours) without any sexual arousal 

Treatments 

All the treatments revolve primarily around reducing the erection so as to prevent permanent damage and thus prevent erectile dysfunction. It's medical emergency. Consult doctor immediately. Some treatments, which are used to cure Priapism are: 

  1. Ice packs 
  2. Needle therapy to drain the blood from the penis and reduce the erection 
  3. Sometimes, your doctor might suggest blocking the problematic artery to prevent blood flow causing an erection 
  4. If you have low-flow priapism then the doctor might suggest surgery to drain the blood if all other means and options fail
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Popular Questions & Answers

I did not get enough erection in my last 2 attempt can I take megalis 10. Will it give me side effects like priapism.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Delhi
You do massage with clove oil twice a day. Start eating a healthy diet like green vegetables like spinach, cabbage, kale etc contribute in male enhancement. Also citrus fruits like avocado, orange, and lemon that are rich in Vitamin B9. Also you can concern with us, if you want fast result. We provide therapies as well as ayurvedic medicines. You can contact us on We will concern and later on we can deliver medicines.

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Having issues? Consult a doctor for medical advice