Hard Flaccid Syndrome - PART 1-3

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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.

Dr. Goldstein explains that this condition is linked to a pathological reflex in the spinal cord, specifically within the lumbar spine. This reflex triggers the sympathetic nerves to remain active, causing continuous contraction and leading to the shriveled, cold state of the penis. This imbalance disrupts the normal functioning of the parasympathetic and sympathetic nervous systems, which typically regulate erection and relaxation cycles. Patients suffer from additional issues like high-riding testicles, painful erections, and difficulty with urination and defecation, significantly impacting their quality of life.

Hard flaccid syndrome's causes can often be traced back to specific triggers in the genital and pelvic regions, sometimes exacerbated by self-inflicted actions. Dr. Goldstein and his team are researching these triggers and potential spinal lesions that contribute to this syndrome. Although the exact mechanisms are not fully understood, their work aims to develop better diagnostic and treatment methods to help those affected by this distressing condition.

 

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Hard flaccid syndrome is a perplexing and distressing condition affecting men's sexual health, characterized by persistent firmness of the penis in a flaccid state. Typically, this condition arises after events such as prolonged masturbation, jelqing injuries, or intense sexual intercourse. These activities trigger excessive neural activity from the penis through the pelvic and perineum regions, leading to hyperactivation of the sympathetic nervous system. Commonly, patients report symptoms like coldness and numbness, despite normal neuro and ultrasound examinations. In this interesting medical interview on UroChannel, doctors Dr. med. Dr. phil. Stefan Buntrock and prof. Irwin Goldstein discuss this underreported medical condition.

Interestingly, studies suggest that nerve sprouting might be responsible for this syndrome. Once nerve sprouting occurs, the hyperactivity of the sympathetic system perpetuates, making it challenging to halt the condition. Providers often overlook hard flaccid syndrome due to its atypical presentation, not occurring during erection but in the flaccid state. This oversight highlights the need to reconsider the scope of men's sexual dysfunctions.

There is currently no definitive treatment for hard flaccid syndrome. Techniques such as using cold ultrasound gel and the Rigiscan device can help visualize the condition. Some experimental treatments include Botox injections aimed at reducing sympathetic activity within the penile tissue. Shockwave therapy has shown limited success, and ongoing research is vital for developing effective treatments. Despite the challenges, continued efforts and innovative approaches remain crucial in finding a solution for hard flaccid syndrome.

 

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Never heard of HARD FLACCID SYNDROME? Then this video is a must-watch! In this video, Dr. med. Dr. phil. Stefan Buntrock, a urologist from Götingen, delves into part three of an enlightening interview with Professor Irwin Goldstein, a leading authority in sexual medicine. The focus is on the hard flaccid syndrome, a condition affecting the flaccid penis that remains largely unrecognized in the medical community despite its prevalence. Professor Goldstein shares his insights and experiences, shedding light on why this condition is often misunderstood and overlooked.

Hard flaccid syndrome is characterized by a persistently firm yet flaccid penis, a condition that starkly contrasts with more commonly known erectile dysfunction issues. Many sufferers report feeling constantly aware of their condition, which significantly impacts their daily lives. Professor Goldstein discusses his journey in recognizing and validating patients' experiences, emphasizing the need for increased awareness and research.

In an engaging and candid recount, Professor Goldstein shares a personal experiment he conducted using cold ultrasound gel on himself. This firsthand experience gave him a profound understanding of the discomfort and frustration experienced by those with hard flaccid syndrome. He underscores the importance of empathy and patient-centric approaches in medical practice. Join us as we explore the complexities of hard flaccid syndrome, its impact on patients, and the ongoing efforts to find effective treatments. This video aims to educate and inform, providing valuable insights for both medical professionals and those affected by this condition.

 

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Clinical guide to rare male sexual disorders

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Hard flaccid syndrome: initial report of four cases

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