What is abnormal penile erection and what is going on?

Patient's question:

At the age of 15, while my parents were unaware, I watched pornographic videos at home. That's when I started having the habit of masturbation. After that, I realized that I was very sensitive—I would get an erection as soon as I saw a beautiful woman. When I was young and wore school uniforms, it wasn't noticeable, and I also tried to control my emotions. Now that I've grown up and started working, I've realized this is a problem. I feel too embarrassed to go to the hospital for treatment. What should I do?

Doctor's answer:

Hello, your condition is not an erection, priapism refers to a persistent state of penile erection unrelated to sexual desire. Penile erection lasting more than 6 hours is considered priapism. Traditionally, priapism is divided into primary (specific) and secondary. Based on hemodynamics, it is classified as low-flow type (ischemic) and high-flow type (non-ischemic). The former is caused by venous obstruction (venous occlusive), while the latter is due to abnormal arterial blood injection (arterial). Priapism is also divided into acute, intermittent (recurrent or intermittent, such as sickle cell anemia), and chronic (usually high-flow type). In the initial stage of priapism, it is all physiological penile erection, which later develops into a high-flow type.

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