• Consistent semi-rigid penis in the flaccid state is a typical presentation.
  • Loss of erectile rigidity is commonly reported.
  • Sensory alterations in the penis, such as numbness or reduced sensitivity in the glans, may occur.
  • Discomfort during urination and ejaculation, especially when standing, can be noted.
  • Erectile dysfunction may manifest.
  • Some individuals may experience pelvic floor tension or muscle contractions.
  • Psychological distress, encompassing anxiety, depression, loss of libido, and insomnia, is often experienced.
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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 incidents like penile device usage, rough sexual activity, or excessive penis stretching.
  • Damage to the penis base affecting nerves and blood vessels supplying the penis and pelvic muscles.
  • Emotional distress triggering pelvic muscle contractions.
  • Persistent muscle contractions compressing nearby nerves and vessels, causing sensory changes and pelvic tension.
  • Continuous muscle contraction impacting penile venous structures, causing semi-erectness in the flaccid state.

Diagnostic Challenges

Hard-flaccid Syndrome, though not formally recognized in medical practice, describes a cluster of symptoms commonly discussed on internet forums. However, due to scarce information in medical literature, its understanding and definition remain vague.

Moreover, symptoms linked to Hard-flaccid syndrome often resemble those of CPPS/Male Pelvic Pain Syndrome and Chronic Nonbacterial Prostatitis. While these conditions have well-established definitions, diagnosing and treating them can be complex. Furthermore, many pelvic floor therapists specialize in treating women, but at PHRC in Merrimack, we cater to both men and women.

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How We Can Help You

Visiting a pelvic floor therapist in Merrimack might just be what men with Hard-flaccid Syndrome need. When you see these experts, they get to know about your previous health concerns and the treatments that worked (or didn’t). It’s common to feel worn out by this stage, but the therapists understand. They check over your body thoroughly, looking at your muscles and even how you move. After the exam, they’ll explain the results and outline your personalized recovery plan, which includes regular sessions and home exercises. The goal is usually to meet one to two times a week over three months. You’re not alone in this; your therapist and your treatment team in in Merrimack have got your back, ready to help you bounce back stronger.