• Persistent semi-rigid penis in the flaccid state is frequently observed.
  • Many individuals note a decrease in erectile rigidity.
  • Sensory changes in the penis, such as numbness or reduced sensitivity in the glans, may be reported.
  • Discomfort during urination and ejaculation, particularly while standing, is common.
  • Erectile dysfunction may be evident.
  • Some may report pelvic floor tension or muscle contractions.
  • Psychological distress, including anxiety, depression, loss of libido, and insomnia, is commonly associated with these symptoms.
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Associated Diagnoses

Chronic Pelvic Pain Syndrome (CPPS)/Male Pelvic Pain, Chronic Nonbacterial Prostatitis, and Interstitial Cystitis/Painful Bladder Syndrome are all pain syndromes that may coexist with or contribute to Hard-flaccid Syndrome.

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Causes of Hard-flaccid Syndrome

  • Traumatic events, such as penile device use, rough intercourse, or excessive penis stretching.
  • Injuries to the penis base affecting nerves and blood vessels supplying the penis and pelvic floor muscles.
  • Emotional distress inducing pelvic floor muscle contractions.
  • Sustained muscle contractions compressing nearby nerves and vessels, resulting in sensory changes and pelvic tension.
  • Continuous muscle contraction affecting penile venous structures, leading to semi-erectness during flaccidity.

Diagnostic Challenges

Hard-flaccid Syndrome, though not officially acknowledged as a medical condition, refers to a group of symptoms often discussed on online platforms. Limited information in medical literature hampers its understanding and definition.

Symptoms similar to those of Hard-flaccid syndrome often appear in people affected by CPPS or Chronic Nonbacterial Prostatitis. Diagnosing and treating these health issues effectively is quite a challenge. Plus, it’s harder for men to find specialized care as many therapists focus on women’s pelvic health. But at PHRC in Columbus, we’re different. We are skilled in treating men with pelvic conditions, and there are times when we assist more men than women.

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How We Can Help You

If you’re a man struggling with Hard-flaccid Syndrome, it could be really helpful to see a pelvic floor therapist who focuses on pelvic pain in Columbus. They’ll sit down with you to discuss everything that’s been going on, from your previous health issues to how you’ve tried to treat them in the past – and they know it’s been a tough road. The therapist will give you a full body exam, which includes checking out your muscles and how you move. Once they’ve figured out what’s happening, they’ll walk you through their findings and set up a tailored treatment plan with goals to get you feeling better, short-term and long-term. This typically means visiting the therapist weekly for three months, plus doing some exercises at home. Rest assured, your therapist will work with your other healthcare providers in Columbus to make sure you’re getting comprehensive care and on your way to leading a happier, healthier life.