Priapism (Prolonged Erection): Care Instructions
Overview
Priapism (say "PRY-uh-piz-um") is an erection that does not go away. This happens when the penis stays erect without sexual stimulation. A painful erection lasting more than several hours can damage tissues. Without urgent medical treatment, this can result in erectile dysfunction and the inability to have sexual intercourse.
The cause of priapism is often not known. But it can happen from having a blood disease like sickle cell disease or as a side effect of many medicines.
Your doctor may have removed blood from your penis. This was to help the erection go away. And you may have been given a shot of medicine to soften the erection. If these treatments don't help, surgery may be needed.
Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.
How can you care for yourself at home?
- Put ice or a cold pack on the area for 10 to 20 minutes at a time. Put a thin cloth between the ice and your skin.
- Urinate often. Don't wait until you feel the need.
- Talk to your doctor about the medicine that may have caused the painful erection. You may be able to stop taking it.
When should you call for help?
Call your doctor or nurse advice line now or seek immediate medical care if:
- You have a new painful erection that lasts for more than 3 hours.
Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if:
- You do not get better as expected.
Where can you learn more?
Go to https://www.healthwise.net/patientEd
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Current as of: November 15, 2023
Author: Healthwise Staff
Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.