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Medical Forum / Diseases and Disorders / Prostate Cancer / February 2008

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Priapism like symptoms

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WaterBoy - 11 Feb 2008 13:41 GMT
hi all,
hope i'm in the right newsgroup

3-4 times a night i wake up with an Erection;
it comes right along with having to Urinate

i go to the bathroom, and the Erection goes away

an ideas if this is Prostate related,
or a mild case of Priapism... or something else?

any feedback appreciated
thanks,
waterboy
Leonard Evens - 11 Feb 2008 17:43 GMT
> hi all,
> hope i'm in the right newsgroup
[quoted text clipped - 10 lines]
> thanks,
> waterboy

I am not a physician, so I wouldn't know about obscure medical
conditions which could affect nocturnal erections.  But I will tell you
what I do know.

A normal man has several erections each night.  You have probably been
having them since you reached puberty.  My guess, for what it is worth,
is that the only difference is that you are now waking up with one of
those erections rather than having it subside before you wake up.   That
may have more to do with the state of your bladder, and your awakening,
than with the state of your prostate.  In any case, I've never seen it
described as related to prostate cancer or any other prostate disorder.
 The nerves that control erections don't even pass through the prostate.

Priapism refers to erections that last many hours, not what you describe.

About whether this is the right group to post to,  I am sure many of us
would love to wake up every night with an erection, no matter how long
it lasted.
Steve Kramer - 11 Feb 2008 19:38 GMT
Non Illegitimi Carborundum

> hi all,
> hope i'm in the right newsgroup

Probably not, but that's a good thing.  You dont want to be in this one.

> 3-4 times a night i wake up with an Erection;
> it comes right along with having to Urinate
> i go to the bathroom, and the Erection goes away

the erection is related to the urge to urinate.  If you're getting up a lot
to urinate (and 3-4 times a night is a lot), then you probably have a
medical problem that you need to discuss with your urologist.  Without
knowing your age, PSA, or anything else, I could not opine as to what the
problem might be.

> waterboy

Is I.P. Freely your father?
WaterBoy - 11 Feb 2008 20:05 GMT
.
thanks for the feedback

i'm 60, and
the above condition has been going on for several years

i also forgot to mention, i feel a slight "soreness" in my penis,
most noticeable when sexually aroused

thanks again,
waterboy
Leonard Evens - 11 Feb 2008 22:05 GMT
> .
> thanks for the feedback
[quoted text clipped - 4 lines]
> i also forgot to mention, i feel a slight "soreness" in my penis,
> most noticeable when sexually aroused

I agree that you should see your primary care physician and possibly a
urologist.   If you have not been having PSA tests and regular digital
rectal exams,  at your age,  you should talk to your doctor about
starting them.

Most likely, there is nothing particularly wrong with you, and your
symptoms don't indicate prostate cancer. Be that as it may, one man in
six in the US will be diagnosed with prostate cancer some time in life,
so it is not impossible that you do have it.   Since most prostate
cancer grows slowly, some doctors don't think routine PSA is worth it,
but I think you will find the people in this newsgroup strongly endorse
it, because of our experience.  I certainly do.

If your penis is irritated, and you feel it when sexually aroused, there
could be some inflammation in your penis which leads to your waking up
with erections.   A doctor, particularly a urologist, can tell if there
is something that needs attention.   But remember, as I noted
previously, most likely you have several erections every night and that
has been the case for almost 50 years.   According to Peter Scardino, in
his Prostate Book, a man typically has about five erections a night,
each lasting about half an hour and associated with REM sleep.  This may
change with age, but there is nothing special about waking up with an
erection which lasts until you urinate.   Before I was diagnosed with
prostate cancer,  it happened fairly commonly to me, and now after my
cancerous prostate was removed, it still happens occasionally.  I wish
it were a more common occurrence. )-;

As Steve pointed out,  if you are waking up needing to urinate more
often than before, that could indicate something unrelated to your
prostate such as diabetes, so you should tell your doctor about it.  It
could also indicate that your prostate has enlarged and is pressing down
on your urethra,  something that happens to all men as they age.   It is
called benign prostatic hypertrophy (BPH) and usually isn't much of a
problem.  When it is, it can be treated by medication, and in some cases
by minor surgery.  It is unrelated to prostate cancer.

You might get hold of Peter Scardino's book and read it.   Then you
would pretty much know what we here know about what might be bothering you.

> thanks again,
> waterboy
Steve Kramer - 12 Feb 2008 13:38 GMT
> i'm 60, and
> the above condition has been going on for several years
>
> i also forgot to mention, i feel a slight "soreness" in my penis,
> most noticeable when sexually aroused

Then I would suggest you see a urologist.  Even for a 60-year-old, 3-4 times
a night is not normal.  You probably have a prostate problem.

Since you are 60, you have probably had ten PSA exams by now and a
smattering of digital rectal exams (finger up the anus).  If not, fire your
doctor and get tested.

As to soreness in your penis, that might be the onset of Peronnes Disease or
some other malady.  I don't think it's a symptom of prostate cancer or any
other prostate problem; but I could be wrong.

Regardless, both your issues are deserving of a urologist's input.
WaterBoy - 12 Feb 2008 18:55 GMT
.
great help, feedback here, thanks a lot
i've never seen an Urologist, but i see i'm due

a had a gambling partner who died recently at 80;
he put off a pain in his stomach,
until he had to be rushed to the emergency room;
it was Lymphoma.
they were staging the cancer,
to decide on treatment strength i think;
anyway, he got a blood infection while in Rehab,
and then the kidneys failed, then the liver,
and had to be put on a breathing machine.
i guess his age & not catching it soon enough......

the interesting note here is, he was
diagnosed with Prostate cancer 15 years ago,
and was patiently watching it..!!

oh i forgot to mention something else;
i've been riding a bicycle for the last 6 years,
about 20 miles a week, which might be
contributing to groin area problems...
[but i don't want to give up that exercise]

thanks
waterboy
Leonard Evens - 12 Feb 2008 19:37 GMT
> .
> great help, feedback here, thanks a lot
[quoted text clipped - 14 lines]
> diagnosed with Prostate cancer 15 years ago,
> and was patiently watching it..!!

Each case is different.  Watchful waiting works well for many men, but
you can't assume it would necessarily work for you.

> oh i forgot to mention something else;
> i've been riding a bicycle for the last 6 years,
> about 20 miles a week, which might be
> contributing to groin area problems...
> [but i don't want to give up that exercise]

I have been cycling longer than that and usually considerably more than
20 miles per week.

Cycling can affect erectile function.  Men who regularly experience
"numb penis syndrome" after cycling a while are taking their chances by
ignoring it.   To avoid problems it is important to  have a seat which
fits you well.  It should put pressure on your bones and not on soft
tissue.  It should be tilted at an appropriate angle.  Often bicycle
seats are tilted slightly  up, but I've found i do better if mine is
tilted slightly down.  Also, seat height can be important.  Any decent
bicycle shop should be able to help you adjust your seat properly, but
you have to be the final judge.  Finally, it is important on long rides
to get up off the seat regularly, at least every five minutes, I would
say.  You can do this without stopping by standing on the pedals.

But of course you are not complaining about difficulty attaining
erections---if anything, just the opposite.  I've never heard of cycling
causing the kind of problems you describe.

> thanks
> waterboy
I.P. Freely - 12 Feb 2008 20:24 GMT
> i've been riding a bicycle for the last 6 years,
> about 20 miles a week, which might be
> contributing to groin area problems...
> [but i don't want to give up that exercise]

Aren't there seats that relieve pressure on the area relevant to this
thread? Aren't our hipbones better designed than our prostates to carry
our weight? I rode dirt bikes hundreds of miles per week for many years
without ever relying on my prostate to hold me up.

Keep the sport; dump the crotch seat.

I.P.
I.P. Freely - 12 Feb 2008 00:55 GMT
> 3-4 times a night i wake up with an Erection;
> it comes right along with having to Urinate
>
> i go to the bathroom, and the Erection goes away

What guy doesn't?
Oh, I  know .. those who have ED for one physiological reason or another.

Enjoy.

And get back to us when that no longer happens.

I.P.
But always down, never up.
JK - 13 Feb 2008 03:10 GMT
> hi all,
> hope i'm in the right newsgroup
[quoted text clipped - 10 lines]
> thanks,
> waterboy

 I never had any erection that I thought was in any way a bad thing....

Signature

JK Sinrod
www.MyConeyIslandMemories.com

rosbif - 13 Feb 2008 10:24 GMT
>  I never had any erection that I thought was in any way a bad thing....

I've had a few that were inconvenient....
WaterBoy - 13 Feb 2008 15:03 GMT
.
rip cycling guru Sheldon Brown [heart attack i believe]

i see a urologist appointment is my next best step,
to get a first hand [or is it fingers up?] opinion

waterboy
Steve Kramer - 13 Feb 2008 16:45 GMT
> .
> rip cycling guru Sheldon Brown [heart attack i believe]
>
> i see a urologist appointment is my next best step,
> to get a first hand [or is it fingers up?] opinion

Concur.  Especially if you have never had a PSA test, which seems to be
apparent.
 
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