• Often characterized by a constant semi-rigid penis in the flaccid state.
  • Most men report a loss of erectile rigidity.
  • Some may experience sensory changes in the penis, such as numbness or decreased sensitivity in the glans.
  • Penile and perineal discomfort during urination and ejaculation, particularly when standing, may occur.
  • Erectile dysfunction may be present.
  • Pelvic floor tension or muscle contractions may be reported.
  • Psychological distress, including anxiety, depression, loss of libido, and insomnia, is common among those affected.
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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.
  • Injury to the base of the penis affecting nerves and vessel supply to the penis and pelvic floor muscles.
  • Emotional distress causing pelvic floor muscle contractions.
  • Prolonged muscle contractions compressing surrounding nerves and vessels, leading to sensory changes and pelvic tension.
  • Continuous muscle contraction affecting penile venous structures, resulting in a semi-erect state when flaccid.

Diagnostic Challenges

While not officially recognized as a medical diagnosis, Hard-flaccid Syndrome refers to a set of symptoms often discussed on online forums. Due to limited information in medical literature, its understanding and definition remain unclear.

In addition, symptoms commonly associated with Hard-flaccid syndrome mirror those of CPPS/Male Pelvic Pain Syndrome and Chronic Nonbacterial Prostatitis. Despite clear definitions for these conditions, diagnosing and treating them can be challenging. Moreover, many pelvic floor therapists focus on women, but at PHRC in Lexington, we serve both men and women.

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How We Can Help You

For men dealing with Hard-flaccid Syndrome in Lexington, teaming up with a pelvic floor therapist skilled in treating pelvic pain is a smart move. These specialists will chat with you about your medical history, past diagnoses, and any past treatments you’ve tried, knowing full well how frustrating the journey can be. In your physical check-up, they’ll assess everything from muscles to nerves. They’ll share their findings, map out how you got here, and set up a game plan with both short-term and long-term goals. You’ll typically need to come in once or twice a week for about 12 weeks, but you won’t be alone. You’ll get exercises to do at home and ongoing support from your therapist and your broader healthcare team. We are here to support you on the path to recovery and a better quality of life in Lexington.