Man Suffers Seven-week Long Erection

An Irish
competitive
mountain biker
required
delicate
surgical
intervention
after his
wedding tackle
came off the
worse for wear
after a collision
with his bike,
resulting in a
seven-week erection.
According to the Irish Medical Journal, the
unnamed 22-year-old hobbled up to Dublin's
Tallaght Hospital "with a five week history of
ongoing priapism after he had sustained a blow to
perineum when he fell on to the crossbar of his
mountain bike".
While initial "pain, swelling and bruising" had
subsided within days of the tumble and there were
no signs of injury, the poor bloke was still suffering
"a rigid erection".
Doctors first opted for a hands-on approach, trying
"manual compression". This "caused resolution of
erection but the penis rapidly refilled with blood to
full tumescence".
Cue a two-week pressure dressing treatment,
although once again "release of pressure caused
immediate recurrence of priapism".
In eye-watering detail, the IMJ details how docs
finally tamed the terrible todger: "Further
management involved penile angiography and
selective arterial embolization, performed by
interventional radiologist. Via the right common
femoral artery, pelvic arteriography using a 5
French Omni flush catheter was followed by super
selective catheterisation of the cavernosal artery
using a 2.7 French micro catheter.
"A fistulous communication between cavernosal
artery and right corpus cavernosum was embolized
using gel foam and four 0.018 platinum coils (3
mm x 7 mm). Priapism resolved immediately with
uneventful recovery."
The Irish Independent explains, in layman's terms,
that the "minimally invasive" procedure "involved
inserting gel foam and four tiny platinum coils at
an abnormal connection between an artery and a
vein that supplied blood to the man's penis".
A month later, "there was no recurrence of
priapism and patient reported satisfactory erection
and intercourse".
Tallaght Hospital's consultant intervention
radiologist, Dr Ronan Browne, described the loss of
permawood as "a great result". He added: "We
were very happy with the outcome. It was an
anxious time for the patient as it would be for any
young man."
The IMJ notes that there are only two previous
records in medical literature of "priapism following
cross bar straddle injury". In this case, it was
painless "high-flow" priapism, as opposed to the
agonising low-flow flavour.
The journal clarifies that priapism is "a prolonged
unwanted erection for more than four hours in the
absence of stimulation". It adds: "The commonest
low-flow variety is due to veno-occlusion, there is
painful rigid erection with severely restricted
cavernosal blood flow. This warrants emergency
intervention with penile drainage to prevent
permanent damage.
"In high-flow priapism, usually caused by trauma
and considerably less common, there is
unregulated arterial blood flow commonly due to
traumatic fistula into the corpus cavernosum."
Sent From David Aniemeka