Dr. Barry Zisholtz took one look at his patient and recognized the problem: an ischemic priapism. Roderick, a retiree in his late 60s, was in intense pain due to a prolonged erection caused by constant arterial blood flow to the penis.
The patient explained he had sought help at a men’s clinic after several years of gradual progressing erectile dysfunction (ED). As part of the treatment and evaluation, the clinic staff gave Roderick a penile injection to help treat and diagnose his condition.
A prolonged erection followed. “The swelling was awful,” Roderick says, “and the pain was extremely severe.”
Roderick called the clinic, only to be told he was out of luck, because they don’t work weekends. A trip to the emergency room followed, and the physician referred him to Dr. Zisholtz of Georgia Urology. At this point, Roderick was barely able to walk.
“Prolonged erections are relatively rare,” Dr. Zisholtz explains. “However, it is more common in recent years, which may be due to an increasing number of ED treatments such as penile injections.”
Other medical treatments can also cause priapism, and it’s up to a trained urologist to remedy the situation. Some ‘clinics’ may not be able or willing to handle these complications, as it appeared in this particular case.
Upon diagnosing Roderick with an ischemic priapism, Dr. Zisholtz offered to perform a shunt procedure, which would divert the arterial blood from the penis back into the venous system. In an effort to avoid the procedure, Roderick opted to return to the men’s clinic for treatment, but they could not offer him a solution.
After a week of continuing to experience a painful erection, Roderick returned to Georgia Urology and was told he may never be functional again. This time he chose to move forward with an irrigation and possible shunting procedure.
He underwent a procedure under anesthesia, which included the injection of a medicine to decrease blood flow.
“We did extensive drainage and irrigation of his penis,” Dr. Zisholtz recalls, “and finally the erection subsided. He had amazing success with the procedure and was extremely thankful.”
Thanks to Dr. Zisholtz’s extensive knowledge of ischemic priapisms and his subsequent treatment plan, Roderick’s condition was caught in time. By the next day, Roderick noticed complete pain relief. It took some time to regain function. Today, however, he is in full recovery and no longer experiences erectile dysfunction or has to take any additional medications.
“I’m very grateful for Dr. Zisholtz’s guidance and fantastic work,” Roderick says. “I feel like I’m 21 years old again.”
Penile implantation, while exceptionally successful with a 95%+ satisfaction rate, also requires meeting important postoperative milestones. The post-procedure care pathways are implemented to ensure the implant is as successful as possible, and one of the most significant and ultimately exciting milestones penile implant patients hit is when they begin cycling the device. What Is Cycling? […]
By Dr. Michael Kemper I was recently invited to co-host a radio segment for “The Weekly Check-Up” on 95.5 FM WSB. We discussed several topics, but I was most struck by the questions and feedback I received from listeners regarding erectile dysfunction or ED. I believe the candid conversation I had with the host, Dr. […]
Erectile dysfunction (ED) is a physically and emotionally disruptive concern for men that often revolves around impaired blood flow to the penis. Many men follow lifestyles that don’t promote efficient blood flow, which can increase the risk or worsening of ED. In this article, we discuss several ways to improve blood flow, and while this […]
