Penis Captivus and Related Conditions

Definition and Diagnosis

• Persistent erection lasting more than 4 hours without sexual stimulation requires differentiation between ischemic and non-ischemic types via cavernosal blood gas or color Doppler ultrasound, as recommended by the American Urological Association 1

Differential Diagnoses and Management

• Priapism requires type-specific management, according to the American Urological Association 1, 2, 3
• Vaginismus in the female partner can be treated with pelvic floor therapy and gradual desensitization, as suggested by the Journal of Urology 2
• Psychological factors can contribute to anxiety about sexual function, as noted by the Journal of Urology 3