When does Priapism become dangerous?

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Stepbystep
Posts: 9
Joined: Fri Aug 24, 2018 5:33 pm

When does Priapism become dangerous?

Postby Stepbystep » Tue Jan 22, 2019 7:23 am

Unfortunately I've had a number of erections lasting 6 or so hours with Trimix. My penis has never felt cold when this happens, indicating that there is still some blood flow happening.

At what point is Priapism actually dangerous? I figure that the four hour mark assumes that the patient will go to the hospital at that point and it may take a couple of hours after that for treatment.

Larry10625

Re: When does Priapism become dangerous?

Postby Larry10625 » Tue Jan 22, 2019 7:46 am

Stepbystep wrote:Unfortunately I've had a number of erections lasting 6 or so hours with Trimix. My penis has never felt cold when this happens, indicating that there is still some blood flow happening.

At what point is Priapism actually dangerous? I figure that the four hour mark assumes that the patient will go to the hospital at that point and it may take a couple of hours after that for treatment.



I was a paramedic for 15 years... I can tell you that according to the general medical community, at the 4 hour mark, you are considered to have a priapism. At that point, you need to seek medical attention. :)

Larry

gsorter
Posts: 18
Joined: Thu Dec 27, 2018 5:30 pm

Re: When does Priapism become dangerous?

Postby gsorter » Thu Jan 24, 2019 12:17 am

I am not a doctor. I have had 6 hour erections recently with tri mix, even after taking Sudafed and Terbutaline to knock it down. My doctor felt 6 hours, although painful, would only cause temporary bruising and not permanent damage. I downloaded a medical paper studying this and felt better. Permanent damage happened but typically after much longer times, like 24 hours
54 year old, good shape, treated with HDR Brachy monotherpy at UCLA in 2017 for 4+3 Gleason prostate cancer with PSA of 20. Moderate success with Cialis and Viagra,now trying Quadmix

Namirrah
Posts: 40
Joined: Tue Mar 13, 2018 1:45 pm

Re: When does Priapism become dangerous?

Postby Namirrah » Tue Feb 19, 2019 6:19 am

From everything I've read: 4hrs is the safety mark to get medical attention for an ischemic priapism.
At 6 hrs the blood can become acidic and start causing damage.
>/=24 hrs serious permanent injury happens
After 24 hours you have a 0%-40% Chance of recovery. Less than 24 hours you have 78%-100% chance of recovery.
Age: 39, Diabetic (well controlled) HBP (since teens, less well controlled, but ok),
mild ED for 3 years, l arginine l citrulline and norvaline (amino acid stack) helped.
Pills: ineffective. Started trimix: 6/24/18, EXTREMELY effective.

Namirrah
Posts: 40
Joined: Tue Mar 13, 2018 1:45 pm

Re: When does Priapism become dangerous?

Postby Namirrah » Tue Feb 19, 2019 6:22 am

Age: 39, Diabetic (well controlled) HBP (since teens, less well controlled, but ok),
mild ED for 3 years, l arginine l citrulline and norvaline (amino acid stack) helped.
Pills: ineffective. Started trimix: 6/24/18, EXTREMELY effective.

craftspace234
Posts: 2
Joined: Mon Feb 18, 2019 11:31 am

Re: When does Priapism become dangerous?

Postby craftspace234 » Wed Feb 20, 2019 11:28 am

gsorter wrote:I am not a doctor. I have had 6 hour erections recently with tri mix, even after taking Sudafed and Terbutaline to knock it down. My doctor felt 6 hours, although painful, would only cause temporary bruising and not permanent damage. I downloaded a medical paper studying this and felt better. Permanent damage happened but typically after much longer times, like 24 hours


This made me feel a lot better.

Do you have this medical paper you can share?

k188181
Posts: 3
Joined: Wed Oct 03, 2018 2:12 pm

Re: When does Priapism become dangerous?

Postby k188181 » Tue Mar 12, 2019 11:28 am

Out of medical curiosity, what exactly are they doing to treat priapism? My understanding is that the doctor will "drain" blood from the penis but does anyone know the technical details behind this? Not that I have plans to do this myself, understand, but to actually know the process would be fascinating.

I would guess that a larger gauge needle, like a 25 gauge (?) would be used so that blood would flow into it more easily than a smaller gauge needle. I'm sure that you can't pull any blood through an insulin syringe...or if you can, it's an extremely slow process. Would the doctor then drain a certain amount of CCs or milliliters from the penis? Would the doctor drain blood from just one side or do both sides equally? Anyone know answers to these questions?

Larry10625

Re: When does Priapism become dangerous?

Postby Larry10625 » Wed Mar 13, 2019 4:37 am

k188181 wrote:Out of medical curiosity, what exactly are they doing to treat priapism? My understanding is that the doctor will "drain" blood from the penis but does anyone know the technical details behind this? Not that I have plans to do this myself, understand, but to actually know the process would be fascinating.

I would guess that a larger gauge needle, like a 25 gauge (?) would be used so that blood would flow into it more easily than a smaller gauge needle. I'm sure that you can't pull any blood through an insulin syringe...or if you can, it's an extremely slow process. Would the doctor then drain a certain amount of CCs or milliliters from the penis? Would the doctor drain blood from just one side or do both sides equally? Anyone know answers to these questions?



Needle are bigger as the gauge gets smaller... A 25 is very tiny. Blood is usually drawn from at least an 18 and in many cases, a 16. NOT COMFORTABLE in the penis.

Larry

djones36117
Posts: 7
Joined: Wed May 29, 2019 3:34 pm

Re: When does Priapism become dangerous?

Postby djones36117 » Wed Jun 26, 2019 6:01 pm

My doc said to be concerned and head to the ER if you have hard wood for over 6 hours. He said dont sweat a partial as you would have blood flow.

Iluvatar
Posts: 67
Joined: Thu Mar 05, 2015 5:56 am

Re: When does Priapism become dangerous?

Postby Iluvatar » Sun Jul 07, 2019 10:58 pm

I had a urologist tell me they can start to see tissue damage after the four hour mark. One time I went to the four hour mark and was about to drive to the ER when it started going down. I wouldn't mess around with a priapism.
32 years old. I have had ED for around 4 years after a couple of injuries. Suspected venous leak.


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