Definition

A prolonged erection unrelated to desire; the ischemic form threatens penile tissue.

Symptoms

Persistent erection, often painful and very rigid in ischemic cases.

How it may be discovered

Spontaneous onset, medication exposure or a blood disorder.

When to seek care

An erection reaching four hours requires emergency care. Seek help earlier with severe pain or sickle-cell disease; sex is not a treatment.

Investigations and tests

Examination, medication and disease history, cavernosal blood gas and selected Doppler.

Reaching a diagnosis

Ischemic and nonischemic forms must be distinguished promptly.

Treatment options

Immediate hospital treatment of ischemia with drainage and monitored local medication; surgery if needed.

Explore this topic further

Continue with related explanations of how the body works and treatment options.