[NSFW] When you seek immediate medical help for an erection lasting more than 4 hours, how does the doctor help?
Asked by
ETpro (
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December 17th, 2010
I know it is highly unlikely that the medical intervention I would receive would be anything I would welcome. I mean my first reaction is if I got a hardon lasting more than 4 hours would not be to report to the emergency room. I wouldn’t consider it a medical emergency, I would consider it a miraculous gift. I’d throw a PARTY!!!
But I do understand that priapism causes serious cardiovascular damage if not treated—but treated HOW? So has anyone ever had this happen after a dose of Viagra, Cialis, Levitra or any of the other Mycoxafailin (OK, erectile dysfunction) pills flooding the market? Was it good for you?
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13 Answers
What you need is a dose of Mycoxafloppin’.
Medical advice should be sought immediately for cases of erection beyond four hours. Generally, this is done at an emergency department. In sickle cell patients with priapism, the first step in management is a blood exchange transfusion, not a surgical intervention. For other patients, orally administered pseudoephedrine may be effective. Likewise, other sympathomimetic drugs of the amphetamine class have been observed to induce erectile dysfunction, although in a small number of cases they may have the opposite effect. Otherwise, the therapy at this stage is to aspirate blood from the corpus cavernosum under local anaesthetic. If this is still insufficient, then intracavernosal injections of phenylephrine are administered. This should only be performed by a trained urologist, with the patient under constant hemodynamic monitoring, as phenylephrine can cause severe hypertension, bradycardia, tachycardia, and arrhythmia.
If aspiration fails and tumescence recurs, surgical shunts are next attempted. These attempt to reverse the priapic state by shunting blood from the rigid corpora cavernosa into the corpus spongiosum (which contains the glans and the urethra). Distal shunts are the first step, followed by more proximal shunts.
Distal shunts, such as the Winter’s, involve puncturing the glans (the distal part of the penis) into one of the cavernosa, where the old, stagnant blood is held. This causes the blood to leave the penis and return to the circulation. This procedure can be performed by a urologist at the bedside. Winter’s shunts are often the first invasive technique used, especially in hematologic induced priapism, as it is relatively simple and repeatable over time.
This is strange. I seem to recall getting an erection around the time I was eleven or twelve years old that lasted into my early twenties.
Take two Sudafed. (The kind they keep behind the counter). Do it at 3.5 hours since it takes about 15 minutes to work. This also works.
I know three different guys who had this happen and can give you details privately if you’re really concerned about it.
@worriedguy Your link works. No need for behind the counter Sudafed. :-)
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