Penile abnormalities are one of the common genital diseases in andrology . In addition to surgical treatment, other methods can also be used to treat them. So what should we do about abnormal penile erections?
Types and Treatment of Erectile Dysfunction
1. Low blood flow type priapism : The purpose of treatment is to increase venous blood return, make the penis swelling subside, prevent the damage caused by persistent ischemia of the cavernous body, and relieve pain. Drug therapy should be tried before surgery. It should be noted that drug treatment prolongs the treatment time and also increases the chance of cavernous fibrosis and impotence. It has been reported that the incidence of impotence fistula with low blood flow is as high as 50%. If it is cured with drugs within 12 to 24 hours, the erectile function of the penis can almost be restored. Kulmala and Tamella (1995) observed that most cases were treated with aspiration and α-adrenergic hormones within 36 hours, and fibrosis of the cavernous body may not occur. If it exceeds 36 hours, the α-adrenergic drugs are invalid. Different degrees of fibrosis will be formed.
It has been reported that the diluted solution of α-adrenergic agonist is injected into the cavernous body of the penis, and 1 mg of epinephrine is added to 1000 ml of normal saline. First use a 21-gauge needle to aspirate the hemorrhage in the corpus cavernosum, then inject 20ml of diluent into the corpus cavernosum, and then aspirate the hemorrhage after 2 minutes. Repeat the injection and aspiration several times until the tumor subsides. Also useful phenylephrine 10mg, add normal saline 500ml, each injection 10 ~ 15ml. If the treatment is carried out within 12 hours of the onset, satisfactory results can be achieved.
Recurrent priapism often occurs in patients with sickle cell anemia or in those with a history of priapism. Younger patients may be treated with a diluted solution of phenylephrine. For patients with asexual function, anti-androgens or gonadotropin-releasing hormone agonists can be used, which can inhibit nocturnal erection and prevent recurrence.
Complications of drug therapy, including acute hypertension, headache, palpitations, and arrhythmia induced by α-adrenergic drug therapy, infection, bleeding, and urinary fatigue injury caused by aspiration.
2. High blood flow type priapism: Early local cold compress with ice pack will shrink the blood vessels, and the damaged blood vessels may spontaneously form thrombus. Most cavernous arterial ruptures do not heal spontaneously and often require internal pudendal arteriography and embolization.
How to treat abnormal penile erection?
1. The underwear should be loose and not too tight to avoid friction and stimulation to the genitals.
2. Wash the external genitalia with warm water every day before going to bed, especially turning up the foreskin of the penis to avoid dirt stimulation and cause erection. Don’t watch TV or novels that talk about love before going to bed, don’t think about it, and fall asleep as soon as possible.
3. Don’t play with the genitals at will. If nocturnal emission occurs once every 10 to 15 days, it is a normal physiological phenomenon, so don’t worry too much. For most teenagers, when the penis is stimulated by external sexual stimulation, it is advisable to urinate, and the penis will become erect after the bladder is emptied of urine.