Seek immediate medical attention if your erection lasts longer than four hours. This indicates priapism, a serious condition requiring prompt treatment. Delaying care can lead to permanent erectile dysfunction.
Types of Priapism
Priapism has two main forms: ischemic (low-flow) and non-ischemic (high-flow). Ischemic priapism, the more common and dangerous type, involves restricted blood outflow from the penis, causing painful swelling and potential tissue damage. Non-ischemic priapism, less painful, results from unregulated blood flow into the penis. A doctor will determine the type through physical examination.
Causes and Risk Factors
Several factors increase priapism risk, including certain medications like Viagra and other PDE5 inhibitors. Sickle cell disease, leukemia, and some blood disorders also elevate the risk. Drug use, particularly cocaine and marijuana, contributes to priapism incidence. Underlying medical conditions should always be addressed.
Treatment Options
Treatment varies based on priapism type and severity. Ischemic priapism often needs immediate intervention, potentially involving aspiration (removing blood from the penis) or injection of medication to constrict blood vessels. Surgery may be necessary in some cases. Non-ischemic priapism may resolve on its own, though medical monitoring is usually recommended.
Long-Term Effects
Untreated ischemic priapism causes lasting erectile dysfunction due to penile tissue damage. This damage is irreversible without timely treatment. Early intervention is key to avoiding long-term complications.
Prevention Strategies
Careful medication use, adhering to prescribed dosages and avoiding drug interactions, significantly reduces priapism risk. Managing underlying health conditions like sickle cell disease is also crucial. Open communication with your physician about any health concerns is paramount.
When to See a Doctor
Consult your physician if you experience a prolonged erection lasting more than four hours, even if accompanied by minimal pain. Don’t hesitate; prompt action is critical in preventing permanent damage.
