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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