Prolonged erections of 5-6 hours are considered dangerous and require emergency medical care.
While it's possible that pain/pleasure nerves are being erroneously triggered (one being read as the other), there is nothing to consciously suppress nocturnal erections. These are normal and usually occur briefly from 5-30 times per night.
The accompanying symptoms you report with headache, muzzy feeling, and back pain are highly concerning, and may indicate a much more serious circulatory system issue. Press your urologist for an earlier appointment than the 30th. And if you have one of your lasting erections before then, go to the emergency room. Be sure to tell them of your other symptoms.View Thread
blarghh, No reliable way to know for certain whether the inflammation is new or it's irritation from sclerosis that I know of. Perhaps from inspection by a urologist, but I'm not sure they could tell either.
If you must, and this isn't a specific recommendation because I don't understand uncontrollable libido, ask your urologist if there is an equivalent to saltpeter you can use to depress your libido. Usually physical exhaustion will suppress your libido automatically, but there are some people for whom heavy exercise increases their sexual aggression.View Thread
Vik, they say, "There's nothing I can guarantee will help, even if I were willing to try surgery." It's also not something they would make more than a general recommendation on unless they examined the situation directly and made a first-hand assessment of the individual circumstances. Unlike me, they're unwilling to take a description as sufficient to offer more than the most basic suggestions.
Overall, no, it's not the urologist's duty to do surgery if they do not believe it will improve the situation, don't have the skill as a vascular surgeon, or believe a procedure has higher risks than benefits (consequences of lacking lymphatic vessels in an area they're supposed to be). They are not obligated to go beyond their training (do no harm), or to conduct research. Research and shopping for expertise is a patient responsibility, although a doctor might help guide their patient to other doctors they feel have greater experience. You also have the AUA to contact (the American Urological Association) who should be a clearinghouse for directing special circumstances to doctors who have conducted research on extraordinary conditions. As with other areas of the body, there are anticipated consequences when you remove lymphatic vessels.
There is likely to be some urologist somewhere willing to take the risks of surgery, even though a possible surgical option is mentioned in two research articles I found.
The suggestion next door is "Why don't you call (Johns) Hopkins to see if anyone in their urology department wants to take this on, or come in to see me in my office?" The idea there is that with a group of minds, such as the 13 urologists next door, between them they'd discuss and come up with a treatment plan, not just the opinion of one urologist if their attempts were not producing results. The same at a respected institution like Hopkins that is also dedicated to research.
I know that's not the best suggestion because of likely travel distance, but not an unexpected suggestion.View Thread
No. If the cream is too intense, don't use it. Save it for some other muscle pain you have another day. Cold/hot therapy is not appropriate for your penis. There is nothing else you can do but leave it alone, or consult your urologist for an anti-inflammatory prescription, which may not make any difference either.View Thread
Considering that inflammation is a "hot" condition, this is not a surprise. This is why you are not supposed to treat inflamed areas with heat, but rather cold. Of course you can't put an ice pack on your genital area, there are other reasons why that would be bad.View Thread
No, the doctor would NOT remove it. Every doctor pretty much avoids surgery unless it is the only solution. There is a reason the structure exists, and to remove it can cause many unintended consequences.
Sorry, the problem with this condition is that there is NO reliable solution. There are many things to try, and none of them are even 50% reliable as treatment.
The reason this lymph channel is so different than for example, the ones in your neck that swell when you have a cold/flu, is because the channel is a dead-end street in your penis and there is no musculature to naturally move the fluid. This natural movement of fluid cannot be simulated by other means.
There are forms of manual lymph drainage, but they only work on channels that flow through, not ones that are a dead-end.
You see similar things occur with chronic edema in the limbs. This is because your fingers are a dead end street too, like your penis. While you might be able to force the fluids back up towards the core of your body, your natural movements are going to squish it right back where it was over some period of time, and you end up with a clogged dead end street again.
Sorry, but this CAN be a chronic condition that is very difficult to resolve. And since there's no reliable method to resolve it, due to simple physics, it persists until it doesn't. The only thing that IS reliably known is that further irritation of an inflamed area will worsen and prolong the inflammation to the point where it might sclerose (form scar tissue). That is quite clear, and the only reason for the hands-off warning.View Thread