Hard Flaccid Syndrome (HFS)

[madman]

* Typical age: 20-40, often post-genitourinary trauma, with underlying anxiety and/or depression

Key Message

 

[madman]

Introduction

 

[madman]

* Typical age: 20-40, often post-genitourinary trauma, with underlying anxiety and/or depression




What is Hard Flaccid Syndrome?

 

[madman]

Why is it Challenging?

 

[madman]

Nerve Involvement

Muscle Involvement

 

[madman]

* when we talk about the pathophysiology you have to understand they're all theories/hypothesis from case reports, case series, some review articles which is still ongoing and still changing


Pathophusioogy

 

[madman]

Pelvic-Hypogastric Reflux

 

[madman]

Psychological Component

 

[madman]

* Interplay worsens condition



Biopsychosocial Model

 

[madman]

Physician Awareness

 

[madman]

* Treatment options. available are either limited or demonstrate mixed efficacy results




Treatment options

Physical Therapy

Medications

Other Therapies

 

[madman]

Recent-Targeted Therapy

 

[madman]

Management Challenges

Hard-flaccid syndrome: a systematic review of aetiopathophysiology, clinical presentation and management - International Journal of Impotence Research

Hard-flaccid syndrome (HFS) is a rare condition characterised by a semi-rigid penis in the flaccid state, often accompanied by perineal and urinary symptoms. It may also induce psychological distress, which can exacerbate physical symptoms, creating a vicious cycle. There is currently no...

www.nature.com

https://academic.oup.com/jsm/article-abstract/22/11/2007/8314797

 

[madman]

Key Messages

 

[madman]

Thread 'Rare sexual disorders”: shedding light on the unspoken spectrum of male sexual health'

Aug 16, 2025

* This gap in knowledge leads to a vicious cycle: patients are misunderstood or dismissed, often cycling through multiple specialists without answers, while clinicians lack the awareness or confidence to identify these conditions. Moreover, these disorders rarely present with objective, measurable signs. Many originate from complex interactions between neurovascular, endocrine, immunological, and psychological systems. Their pathophysiology is still unclear, and the literature—mostly consisting of case reports and small case series—reflects that ambiguity....

• madman
• sexual disorders; pls; pois; post-ssri
• Replies: 3
• Forum: Health & Wellness

Thread 'Hard Flaccid Syndrome - PART 1-3'

Jul 9, 2024

What is Hard Flaccid syndrome? What are the causes? How is it treated? Dr. med. Dr. phil. Stefan Buntrock, a board-certified urologist and sexologist from Göttingen discusses these questions with professor Irwin Goldstein from San Diego. Hard Flaccid syndrome is a debilitating condition often misunderstood and overlooked in men's sexual health. Unlike common sexual problems that manifest during arousal, hard flaccid syndrome occurs in the flaccid state, leading to constant contraction of the penis, difficulty urinating, and other severe symptoms...

• madman
• hard flaccid; ed; penis; sexual function
• Replies: 5
• Forum: When TRT Is Not Enough (ED, Libido, & More)