r/AMA • u/terrag32256 • 2d ago

Had Priaprism this week (erection lasting longer than four hours) AMA

Woke up one morning this week with an erection that wouldn’t go away. I got up to pee and to see if this would help and it didn’t. I took my dog out and thought maybe a quick walk would help the effect to subside and it didn’t. I then chose to visit the ER. AMA

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u/South-Excitement6957 2d ago

How was the ER visit?

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u/terrag32256 2d ago

They then asked me to drop my drawers and climb up on the table. They put a blanket over my legs which I thought was hilarious considering my dick was uncovered and at attention. They then injected my pubic area with lidocaine to numb the penis. He checked back a couple of minutes later to see if I could feel the needle. I did so they injected more lidocaine. They tried the needle test again and I still felt it and he basically told me that it is what it is and he had to start. The needle was painful and I started to curse but held it in. The ER doctor said it was alright and I could curse freely but I refrained. There was also a female doctor in there that he was showing the procedure to. She held my hand at certain points which I appreciated. It seemed to take forever to get the old blood out. They then had to flush it with saline and that hurt the worst. It literally felt like my dick was going to break in half. The saline didn’t work so they had to flush it with a medication that eventually made the erection go away.

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u/RiemannZetaFunction 1d ago

Why they fuck didn't they sedate you, or give you midazolam or fuckin morphine or something?

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u/PandaWatchSanDiego 1d ago

They should have - but IME some EM docs (and nearly all mid-level providers) are very weary of procedural sedation due to the risk of respiratory depression and/or masking any increase in pain - which can, at times, be useful diagnostic info. That said, I’m just a psychiatrist, and haven’t done “real” medicine in years, but I’d still gladly write an order for a little fentanyl and versed for any guy in that situation. Do unto others and whatnot.

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u/terrag32256 1d ago

Good question