Hard flaccid syndrome: state of current knowledge

Basic and Clinical Andrology
Maher AbdessaterSebastien Beley

Abstract

Hard-flaccid syndrome is gaining increased interest among male sexual dysfunctions in the last years. It is poorly understood and defined. Most of the information comes from online forums. This paper is a review of current knowledge on the clinical presentation, diagnosis, pathophysiological mechanisms and treatments of this newly recognized condition. A literature review was conducted on MEDLINE, CENTRAL, PASCAL databases and google scholar, using the terms: hard, flaccid, syndrome. The research identified 16 articles published between 2018 and February 2019. After reference lists review and duplicates removal, 7 full text references were eligible and useful for our review that follows PRISMA guidelines. The condition is acquired, chronic and painful. It is characterized by a constantly semi-rigid penis at the flaccid state and a loss in erectile rigidity. Patients have penile sensory changes, urinary symptoms, erectile dysfunction, pelvic floor muscles contraction and psychological distress. Symptoms are worse in standing position. The majority of the cases aged between their second and third decades. A traumatic injury at the base of an erect penis is the initial event. Neurovascular structures damage and subsequent sensory,...Continue Reading

References

Feb 26, 2014·The Australasian Medical Journal·Eamonn FahySean Mackay
Mar 21, 2019·International Journal of Impotence Research·Murat GulEge Can Serefoglu
Jun 9, 2019·International Journal of Impotence Research·Murat GulEge Can Serefoglu
Sep 3, 2019·International Journal of Impotence Research·Daniel Yachia

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