{"id":46279,"date":"2025-07-29T03:21:48","date_gmt":"2025-07-29T01:21:48","guid":{"rendered":"https:\/\/www.lelo.com\/blog\/?p=46279"},"modified":"2026-03-15T22:42:49","modified_gmt":"2026-03-15T21:42:49","slug":"priapism-causes-symptoms-treatment","status":"publish","type":"post","link":"https:\/\/www.lelo.com\/blog\/priapism-causes-symptoms-treatment\/","title":{"rendered":"Types of Priapism: Causes &#038; Treatments"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">The definition of priapism might not be familiar to you right off the bat, but if you&#8217;ve ever experienced a four-hour erection, then you&#8217;re definitely intimately familiar with what priapism is.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">While a four-hour erection might sound like a dream and a positive thing, unfortunately, it&#8217;s not as pleasant as it sounds. In fact, priapism is a serious medical emergency that requires immediate treatment.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Before you freak out, though \u2013 knowledge is power, so let&#8217;s discuss everything you need to know about priapism, its causes, and treatment.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">What Is Priapism?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Priapism is a prolonged and sometimes painful erection of the penis. It might be a full or partial erection that might persist long after the sexual activity is over or might occur without any sexual activity involved.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Priapism is a serious medical emergency that requires treatment and might cause damage to the penis and permanent sexual dysfunction if not treated. These prolonged erections can be damaging due to scar tissue buildup in the penis if the condition is not treated immediately.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Despite its seriousness, priapism is not something that happens often. Around <\/span><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S1930043324004187\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">0.5 &#8211; 0.9 cases of priapism<\/span><\/a><span style=\"font-weight: 400;\"> per 100,000 people are reported every year. Higher rates of priapism are observed in people<\/span> <a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S2050052115301128\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">aged 40 and older<\/span><\/a><span style=\"font-weight: 400;\">. However, certain parts of the population, like those with sickle cell disease (SCD), are more prone to experiencing priapism \u2013 it might occur to around 40% of people.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">There are various causes of priapism, but before we dive into that, let&#8217;s discuss the different types of priapism.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Types of Priapism<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">There are three known<\/span> <a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S1930043324004187\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">types of priapism<\/span><\/a><span style=\"font-weight: 400;\">:<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Ischemic Priapism<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Sometimes referred to as low-flow priapism. It&#8217;s the most common form of priapism, and it&#8217;s also the most dangerous. Low-flow priapism happens when the muscles in the penis become paralyzed and can&#8217;t contract, trapping the blood inside the penis. That leads to prolonged, painful erections.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Non-Ischemic Priapism<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Sometimes referred to as high-flow priapism. It&#8217;s a<\/span> <span style=\"font-weight: 400;\">less common type of priapism that is often painless. This form of priapism happens when there&#8217;s an excessive influx of blood into the penis, which disturbs the normal blood-drainage system and causes a prolonged erection. While it&#8217;s still an emergency, it&#8217;s not as dangerous to long-term health as low-flow priapism is. It&#8217;s most common in people with sickle cell disease (SCD).<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Recurring Priapism<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">The last type of priapism, sometimes referred to as stuttering priapism, is a form of a low-flow priapism. It&#8217;s the least common type of priapism and very challenging because the painful, prolonged erections that are dangerous keep coming back. It often requires long-term medical treatment to help manage.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">What Are Priapism Causes?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Sometimes, priapism might happen without a good cause. However, certain lifestyle factors, medical conditions, and injuries might be a <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK459178\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">reason why priapism occurs<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Medical Conditions<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Certain medical conditions might cause low-flow priapism, such as:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sickle cell disease (SCD)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Leukemia (blood cancer)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Thalassemia (low hemoglobin levels)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Hematological dyscrasias (a condition that affects blood, bone marrow, and lymph tissue)<\/span><\/li>\n<\/ul>\n<h3><span style=\"font-weight: 400;\">Injury<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Physical injury of the penis and the surrounding area is the <\/span><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC4708203\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">main cause of high-flow priapism<\/span><\/a><span style=\"font-weight: 400;\">. Suffering physical damage to the area ruptures essential arteries, which might cause abnormal blood flow to the pelvis region and result in a prolonged erection.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">You might injure yourself during sports (especially contact sports), accidents (such as falling off the ladder), and even during sexual activity.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Medications<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">There are a number of medications that are known to cause low-flow and high-flow priapism or might increase your chances of developing priapism, <\/span><a href=\"https:\/\/www.auajournals.org\/doi\/10.1097\/JU.0000000000002236\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">such as<\/span><\/a><span style=\"font-weight: 400;\">:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Certain antidepressants (trazodone)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Some ADHD medications<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Anticoagulants\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Antihypertensives<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Alpha-blockers<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Antipsychotics<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Vasoactive drugs<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Even certain medications used to treat erectile dysfunction have been found to be responsible for <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK459178\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">up to 25%<\/span><\/a><span style=\"font-weight: 400;\"> of priapism occurrences.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Lifestyle-Related Causes<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Aside from medical and drug-related causes, your lifestyle choices might contribute to developing priapism. Drinking alcohol and taking recreational drugs is responsible for <\/span><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC4853765\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">up to 21%<\/span><\/a><span style=\"font-weight: 400;\"> of priapism cases. Recreational drugs include cocaine, marijuana, and MDMA (ecstasy).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Smoking and electronic cigarettes might also lead to increased chances of developing priapism.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">What Are the Symptoms of Priapism?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The symptoms of priapism depend on whether you have a low-flow or high-flow priapism. Generally, the priapism symptoms to look for are:<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Prolonged Erection<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Whether you have low-flow, high-flow, or priapism, the common symptom is a prolonged erection that lasts for four hours or more.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Painful Erection<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">In the case of low-flow ischemic priapism, you might experience a painful erection. The pain might worsen over time.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Rigid Shaft, Soft Head<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">If you have low-flow priapism, you might have a rigid shaft, but the head of the penis is soft.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Rigid Head, Soft Shaft<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">If you have high-flow priapism, you might notice that the shaft of your penis is not as hard, but the head of the penis is swollen and rigid.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Repetitive Episodes of Prolonged Erection<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">If you notice that you have recurring episodes of prolonged erection that last for a couple of hours at a time, it might be a sign that you have recurring priapism.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">What Are the Complications of Priapism?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Without proper treatment, priapism might cause permanent damage to the penis and your overall sexual functioning. The trapped blood inside the penis runs out of oxygen that&#8217;s vital for cells, which may result in<\/span><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC3866283\/\" target=\"_blank\" rel=\"noopener\"> <span style=\"font-weight: 400;\">tissue damage in your penis<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">That tissue damage might lead to permanent erectile dysfunction. Low-flow priapism that&#8217;s left untreated for more than 24 hours increases your chances of developing permanent erectile dysfunction by <\/span><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC4236300\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">up to 90%<\/span><\/a><span style=\"font-weight: 400;\">.\u00a0\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">How Is Priapism Diagnosed?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">While a four-hour erection is a good indication that you probably have a low-flow or high-flow priapism. However, your healthcare provider will <\/span><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC4853765\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">run some tests<\/span><\/a><span style=\"font-weight: 400;\"> to find out exactly how severe your condition is and which type of priapism you have.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Physical Exam<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Your healthcare provider might check the penis, perineum, and pelvic region to check for signs of trauma or other abnormalities that might be a cause for priapism.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Blood Tests<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Your doctor might run some blood tests to see whether or not you might have some blood-related conditions that could be a cause.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Ultrasound<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Your doctor might do an ultrasound, which helps measure blood flow to the penis. Also, it might allow the doctor to see if there are any physical signs of trauma.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Blood Gas Measurement<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Your doctor might do a blood gas measurement test to find out the oxygen and carbon dioxide levels in the blood that&#8217;s stuck inside your penis. This might help evaluate which type of priapism you have.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Toxicology Test<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Because alcohol and illicit drug use might cause priapism, your healthcare provider might do a toxicology test.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">When To See a Doctor<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">If you have a four-hour erection that won&#8217;t go away no matter what you do, whether or not it&#8217;s painful or not, you need emergency care. The emergency care doctor will be able to help identify the form of priapism you have and find a suitable treatment.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">While it might be scary to seek help, it&#8217;s better to do it as soon as possible so you can get the treatment quickly and minimize your chances of permanent damage to the penis and your overall sexual function.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">What Priapism Treatment is Available?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">How you treat priapism will depend on the type you have, your medical history, your overall health, and the severity of the condition.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">At-Home Treatment\u00a0\u00a0<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">If you have a prolonged, painful erection, there are things you might try yourself.<\/span> <a href=\"https:\/\/www.nhs.uk\/conditions\/priapism-painful-erections\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">National Health Service (NHS)<\/span><\/a><span style=\"font-weight: 400;\">, suggests to try:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Go for a pee<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Have a warm bath or a shower<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Increase your water intake<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Go for a gentle walk<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Try gentle exercise<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Take painkillers if needed<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">There are also things you should avoid doing to try and ease the discomfort:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Avoid ice packs or cold baths, as it might make things worse<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Avoid sex and masturbation<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Avoid drinking alcohol<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Avoid smoking<\/span><\/li>\n<\/ul>\n<h3><span style=\"font-weight: 400;\">Aspiration<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Aspiration is a medical procedure in which a doctor manually drains the blood from your penis. It&#8217;s a treatment that&#8217;s successful in <\/span><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC4719511\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">66% of cases when treating low-flow priapism<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">During the procedure, a medical professional will use medication to numb the penis. Then, they&#8217;ll use a small needle and a syringe to withdraw the blood trapped in the penis to reduce the swelling and alleviate pressure.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">One time might be enough, but they might also need to repeat the procedure a couple of times until the prolonged erection finally goes away.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Medication<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Your healthcare provider might treat priapism with prescription medication such as decongestants like phenylephrine. This medication might help reduce the blood flow to the penis and help the erection to go down.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Observation<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">If you have high-flow priapism, your healthcare provider might keep you under medical observation until the prolonged erection resolves itself. A high-flow priapism resolves on its own in <\/span><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC2859143\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">60% of cases<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Surgery<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">If no other <\/span><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC3866283\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">methods of treating the priapism<\/span><\/a><span style=\"font-weight: 400;\"> work, or if you have a severe case of priapism, your healthcare provider might suggest surgery to restore proper blood flow to the penis. Using surgical methods, the healthcare provider will create a pathway to drain excess blood and restore the regular blood flow to the penis.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Is it Possible to Prevent Priapism?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Priapism is not a common occurrence for the general population and might happen to anyone at any time. Because of it, it might be hard to do specific things to prevent it from happening. However, there are <\/span><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC4236300\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">things you might want to try<\/span><\/a><span style=\"font-weight: 400;\"> to minimize your chances:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Make sure you&#8217;re treating any underlying health conditions you have as per your doctor&#8217;s recommendations, such as sickle cell disease (SCD).<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Always take the medications prescribed to you according to the instructions.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Wear protective gear around your penis when you participate in rigorous activities that might result in physical injuries.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Avoid or cut out alcohol, drugs, and smoking.<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><strong>Enjoy 15% off <a href=\"https:\/\/www.lelo.com\/\" target=\"_blank\" rel=\"noopener\">LELO.com<\/a> with code <span style=\"color: #800080;\">VOLONTE15<\/span><\/strong><\/p>\n<p style=\"text-align: center;\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The definition of priapism might not be familiar to you right off the bat, but if you&#8217;ve ever experienced a four-hour erection, then you&#8217;re definitely intimately familiar with what priapism is. While a four-hour erection might sound like a dream and a positive thing, unfortunately, it&#8217;s not as pleasant as it sounds. In fact, priapism is a serious medical emergency that requires immediate treatment. Before you freak out, though \u2013 knowledge is power, so let&#8217;s discuss everything you need to [&hellip;]<\/p>\n","protected":false},"author":226,"featured_media":45987,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[17,1245],"tags":[1218,1219,665],"coauthors":[1007],"class_list":["post-46279","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sexual-health","category-mens-health","tag-mens-health","tag-mens-sexual-health","tag-penis"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.8.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Priapism: Causes, Symptoms, and Treatment for a Painful Erection<\/title>\n<meta name=\"description\" content=\"A four-hour erection isn\u2019t always a good thing. 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