Priapism: The Pain of a Prolonged Erection

Priapism is a persistent and painful medical condition in which the erection in the penis lasts for several hours say 4 hours. The erect penis does not return to its flaccid state within 4 hours as in this condition, the erection is not necessarily related to sexual stimulation or excitement. During this time, the shaft of the penis is rigid and inflexible, but the head of the penis (the glans) is usually soft. The penis is also usually painful or tender.

Priapism is a relatively uncommon disorder, is a medical emergency, which should receive proper treatment by the Andrologist which is often required to prevent the tissue damages that can lead to the inability in order to get or simply maintain an erection causing erectile dysfunction.

Symptoms Of Priapism:

This condition is not often persistent erection, which is not relevant to certain sexual stimulation. The symptoms about the same can depend on various types which are mentioned below:

S.No. Type of Priapism Causing factor
1 Ischaemic  (Most common Type)

Also called as low blood flow Priapism

caused by lack of blood flow through the penis
2 Non- Ischaemic  (Rare Type)

Also called as high blood flow Priapism

caused by an injury to the genitals or perineum
3. Recurrent or Intermittent similar to ischaemic priapism but characterised by recurrent, long-lasting, painful erections that ease after 2-3 hours

Causes of Priapism

  • Injury: The injuries leading to blood loss from the penis
  • Blood disorders: can lead to this issue, which further brings in issues like leukaemia and sickle cell anaemia.
  • Alcohol & drug use: Misuse of ED drugs like Viagra and too much of alcohol consumption.

Diagnosing Priapism

When blood is trapped in the penis, it loses oxygen. That oxygen-poor blood can damage tissues in the penis. If you think you have the issue of priapism, you are supposed to see a competent Urologist right away. The following investigations help to rule out the type of Priapism:

  • Physical examination: Andrologist reviews all the medical history of patient and evaluate physically.
  • Blood Gas Measurement: A small needle is used to draw blood from the penis to see if it is low in oxygen.
  • Color Doppler ultrasound: It is an imaging test that simply show how the blood is seen flowing inside your penis

Priapism Treatment

There are several steps that can help in preventing this disease.

  • Change or put a full stop on the medications prescribed for ED that carry the possible causes.
  • Avoid use of illegal drugs or alcohol.
  • Stop taking the self-injection for erection.

The treatment for priapism depends on the results of the blood tests. These interventions are simply carried out in a step wise manner with surgery being the last option. If not treated this condition leads to erectile dysfunction in the future.

The Treatments for Priapism are as follows:

  • Medication: The medication simply constricts the blood vessels, which carry blood over the penis that is injected over the penis with a small 29 gauge needle over the corpora cavernosa area of the penis.
  • Aspiration: The blood is very much drained from the penis employing 16 or 18 gauge needle and syringe.
  • Surgery: A surgical procedure can help in rerouting the blood can be performed. After this you can place over the area over the genitals.

For any further enquiry on Priapism please contact:

Dr. Gautam Banga

MBBS,MS,M.Ch (Urology)
Urologist, Andrologist and Genito -Urinary Reconstructive Surgeon
Contact no. : 91- 9886624303 | +91-9999062316 | 011-41041131
Website :


 What is penile Implant ?

Penile Implant Surgery or penile prosthesis is a treatment option for men with Erectile Dysfunction who do not respond to conservative management. It is surgically placed into a penis to generate/ produce a natural erection.

What are the types of penile implant?

There are mainly two types of Penile prosthesis: Semirigid and Inflatable. Peculiar features of the implants are as follows:

Type of implant Advantages Disadvantages

Semirigid or Malleable rods


Easy to use.

Fewest parts so fewer chances of malfunction.


Constantly firm
Inflatable implants- three piece model

(standard of care)

Acts and feels more like a natural erection Requires more manual dexterity
Inflatable implants- two piece model Penis looks more natural in erect and flaccid states, easier to operate than 3 piece model.


Possibility of leakage or malfunction

types of penile implant surgery
How to choose the right penile implant surgery ?

Penile implant surgery is an important decision. No one is too old to be evaluated for this procedure. But achieving the optimum results depends on upon the selection of penile prosthesis best suited for each patient. There are some important factors which are considered while choosing a penile implant for a patient:

There are some important factors which are considered while choosing a penile implant for a patient:

a) Age of the patient and partner

b) overall penile size,

c) The ability of the patient to inflate / deflate the device

How and what device is used for Penile Implant Surgery?

Through a 3-4 cms incision at the level of penis and scrotum, small openings are made on both carpora cavernosa and after taking accurate measurement (length) implants are selected and placed along with the pump.

How long does the penile implant procedure take to complete?

This procedure takes approximately 1.30 hours to 2 hours.

Will I have normal feelings after implant?

The penile implant does not interfere with the natural feelings. This device has nothing to do with the ejaculation or orgasm.

Does a penis with implant look and feel like a natural erection?

Penile Implant Surgery is not noticeable when your penis is flaccid. Your partner would not be able to make out that you have had an implant in your penis unless you tell her.

What if I get an infection after the procedure?

If it is a superficial infection then can be treated with antibiotics. And if the implant gets infected then we have to replace it with the new one.

What are the possible risks/complications of penile implant?

Post-operative complications of penile implant surgery are not common. There are some risks associated with the implant procedure including pain, anaesthesia, and repeat surgery due to infections or mechanical failure of the device.

Which specialist/surgeon will do the surgery?

A Urologist who is specialized in Genito-Urinary Reconstructive Surgery is the right choice for penile prosthesis surgery. A routine urologist may not be efficient to perform this procedure.

What do I need to prepare for the penile implant procedure?

A patient needs to prepare certain essentials before heading towards the penile implant surgery.

Few are listed below:

i. Get your medical history reviewed by the Urologist who is specialised in Genito-Urinary Reconstructive surgery.

ii. Do a physical examination: Physical evaluation is must prior the surgery to avoid any hassles while surgery,

iii. If diabetic, sugar needs to be controlled.

iv. Any skin infection should be treated prior surgery.

v. Penile sensation should be intact.

What are the post- operative precautions to be taken?

• No sexual activity for 6 weeks after the surgery.
• No strenuous work for 4 weeks after the surgery.

What is the recovery time after the procedure?

A patient following penile implant surgery usually recovers within 2 days means he can resume his normal routine after 2 days of the surgery. You can begin enjoying sex once again after 6 weeks.

What is the cost of the surgery?

Surgery cost entirely depends on upon the cost of the implant chosen by the patient.

Do the insurance companies cover penile implant procedure?

Usually, it is advisable to coordinate with your respective insurance company in view of the same.What is

What is the success rate of the procedure?

About 90%-95% of inflatable implants produce erections suitable for intercourse.
More than 90% of men are moderately or completely satisfied with the results.

For any further enquiry on Penile Implant Surgery please contact:

Dr. Gautam Banga

MBBS,MS,M.Ch (Urology)
Urologist, Andrologist and Genito -Urinary Reconstructive Surgeon
Contact no. : 91- 9886624303 | +91-9999062316 | 011-41041131
Website :