The refractory period in men is characterized by detumescence and lack of subsequent arousability in addition to hypersensitivity of the glans.
In men, the detumescence of the penis in the refractory period is associated with greater difficulty in having a subsequent erection.
results from the cessation of neurotransmitter release, breakdown of second messengers (cGMP, cAMP) by PDE-5 (phosphodiesterases), and sympathetic nerve excitation during ejaculation.
Two of 4 pediatric sickle cell patient episodes responded to exchange transfusion; others ultimately required aspiration to achieve detumescence
He denied hearing a "snap" sound, which is usually followed by penile detumescence or pain.
4] In the present case, neither a "snap" sound nor rapid detumescence was reported by the patient.
The patient had been doing taghaandan (cracking the penis) for about 15 years; this time, however, he felt a tearing/popping sensation, and reported rapid detumescence and severe penile pain, but he has been able to void well.
4] This practice of taghaandan occurs when the erect penis is bent or struck to achieve rapid detumescence.
All patients complained of hearing a cracking sound followed by rapid detumescence
, pain and penile swelling.
A 22-year-old man presented to the emergency department with a history of sudden cracking sound and acute pain during sexual intercourse followed by rapid detumescence
, penile swelling and ecchymosis.
Typical clinical presentation includes a snapping sound during the sexual act followed by immediate pain and penile detumescence
, in addition to the emergence of large edema, hematoma and penile deformity.
The patient reported a "tearing/popping" sensation, rapid detumescence
, severe penile pain and frank blood per urethra.