"Call a doctor if you have an erection lasting longer than 4 hours"

During my first career as a Sheriff Deputy I pissed off the wrong person and got stuck working in the jail for almost 2 years. During that time I had to make approximately 6 hospital escorts for inmates that had priapisms.

It’s not funny. The poor bastards were in excruciating pain and the treatment wasn’t fun either.
I never learned why any of them had it.

Wasn’t the rumor injecting drugs into your penis made it more potent but also gave you a long term erection?

off topic, but curious on the outcome of your sleep apnea operation? I have used a CPAP for 10+ years and wonder if the surgery is actually a good option?

I had three different operations. A rhinoplasty (deviated septum), a uvulopalatopharyngoplasty (in which the uvula and part of the palate is burned off by lasers: your flesh smells very much like barbeque), and the one you’re referring to, known as hyoid suspension, as well as two different CPAPs at different times. None of them did a damn bit of good.

Looking hyoid suspension up today, I see it is now done with a 1.5 inch incision and combined with the uvulopalatopharyngoplasty. Sounds better to me, but I wonder just how good surgery is even now. But definitely talk to a real doctor about this.

Now they seem to pimp the device. You know, push a button. (Hint: the commercials didn’t make very clear at first it required surgical implantation, which makes the “simplicity” argument questionable.)

My sleep doc said the device works pretty well, but not as well as my CPAP results.

Amazing device, at least in concept.

I recall a news item about some clever fellow (for various definitions of “clever”) who put cocaine into his penis and after a day or two, gangrene or something set in and it had to be amputated. Nothing should be going into the outlet. Bad idea.

Can I add a serious related question? I have never used any of these drugs but, besides giving an erection to someone who cannot get one, what is the benefit?

Is it supposed to increase endurance? Otherwise what is the point of a 2 hour erection if you reach orgasm after 10 minutes? Even if I were able to remain at attention long after orgasm, I would get sore quickly.

AIUI, and I am not an authority by any stretch.

The younger men with fully functional hardware get, or think they get, greater stiffness, volume, endurance, etc. The perception is it turns an e.g. 40yo erection into a 17yo’s. But coupled with a 40yo’s skill and ability to delay gratification, that makes for a lot of additional sustained fun for everyone.

As any adult of either gender of a certain age can attest, erections are not binary things. On the plus side there’s good, better, and best. On the minus side, there’s trying and barely succeeding, trying and not quite succeeding, etc. And again duration matters. 20 minutes of vigorous effort to coax up a useable result only to have the soufflé fall 3 minutes later, is probably not much fun for anyone.

Any drug that ups the results measured along that spectrum is going to be popular.

IMO. IME. YIMV.*




* Your Inchage May Vary

In my own case, around age 60, I could still be aroused just as easily but had difficulty staying fully inflated for more than a couple minutes.

Cialis/Tadalifil completely solved that for me. The only downside, since I take it daily, is that it is on a hair trigger. For certain definitions of “downside”.

OK, the above confirms that the drug gives you a better quality and longer duration erection, but it doesn’t say anything about ejaculation control or soreness after the fact.

So excepting guys who can go multiple times in a short period, if it’s over after 10 minutes, it’s over right? And you still have wood hanging around for hours…

I am just wondering since I have heard of younger guys taking the drugs recreationally and I don’t quite understand the appeal

In the case of the Rx drug I take, yes.

You can chuckle, but these things end up in an emergency room and some doctor has to see them.

Without divulging too many details, I have seen something like this on three separate occasions. Although the article above on boner timing seems very precise, in fact damage can set in within six hours. Longer is worse, but anything over six hours is considered very dangerous if you wish to have another boner due to permanent damage to the spongy tissue. If this happens to you, seek help immediately since the 12h and 24h times given above are likely unreliable.

Once, the cause was sickle cell disease, which can also cause pain, spleen problems, stroke symptoms and other complications.

Once, the cause was misadventure with a cock ring. Those things are not meant to be in place for days, even if you might be embarrassed to seek help. Rubber ones are safer than metal ones which might require bolt cutters.

Once, it seems to have been a side effect of a popular medication. Since this specific ER did not stock phenylephrine and I did not want to try the technique of expressing fluid by needling the tissue twenty times, I did what worked… diluted epinephrine to a 1:1000000 concentration and injected that into the honourable member. Many medical students remember the mnemonic “point and shoot”, meaning the pointing part is mediated by the parasympathetic nervous system…

I love medical stories that include the word “misadventure”. So much promise in just 4 syllables. :slight_smile:

Seriously, thanks for the legit & well-sourced warnings.

Things are worse if your hospital does not have bolt cutters and might have to call the fire department for help.

Priapism is not hard to deal with.

I find it … interesting … how well Discourse has this thread err umm pegged.

All the “You might also like” threads below the last post are on-point. As in aimed & ready to fire in just the right direction.

We seem to have longstanding history discussing this topic.

Over for YOU, maybe. If there is someone else there with you, their enjoyment of the, uh, situation may last for a while longer if you can, ya know, keep (it) up. The game’s not always over after YOU score.

This may answer your question:

https://pubmed.ncbi.nlm.nih.gov/33214060/

Pharmacologically induced priapism is now the most common cause of priapism, with approximately 50% of drug-related priapism being attributed to antipsychotic usage.

@Qadgop_the_Mercotan may know more, IIRC he worked as a physician in the prison system.

~Max

There are lots of inmates are on antipsychotic drugs these days, since we now use prisons to warehouse so many people with severe mental illness, as opposed to mental health facilities.

I treated a few patients for priapism and it was almost always on guys that were on psych meds. The one exception I recall was a guy on sildenafil (viagra) for severe pulmonary hypertension. They’d sometimes detumesce with oral pseudoephedrine tabs but most needed intrapenile injections of phenylephrine. I’d send 'em to the ER for that.