Skip to main content

Sleep related painful erections

  • Chapter
Sleep
  • 701 Accesses

Abstract

Painful nocturnal erection is characterised by internal penile pain which only occurs during sleep-related erections [4, 9]. This is a rare disorder, often poorly understood and lacking in documentation. It specifically affects men: only one woman has been reported suffering from severe painful clitoral tumescence, and this was during wakefulness [1]. The most informed work on neurophysiological and neurochemical erectile mechanisms [5, 8] has shown the importance of intercavernous smooth muscle tonicity in controlling penile haemodynamics in the flaccid and erect states, but has failed to elucidate the origin of the syndrome. A hypothesis has been put forward of altered autonomic nervous control [2].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. BLIN O., SCHWERTSCHLAG U.S., SERRATRICE G. - Painful clitoral tumescence during bromocriptine therapy. Lancet, 337, 1231–1232, 1991.

    Article  PubMed  CAS  Google Scholar 

  2. FERINI-STRAMBI L., MONTORSI F., ZUCCONI M., OLDANI A., SMIRNE S., RIGATTI P. - Cardiac autonomic nervous activity in sleep-related painful erections. Sleep, 19, 136–138, 1996.

    PubMed  CAS  Google Scholar 

  3. FERINI-STRAMBI L., OLDANI A., ZUCCONI M., CASTRONOVO V., MONTORSI F., RIGATTI P., SMIRNE S. - Sleep-related painful erections: clinical and polysomnographic features.J. Sleep Res. 5, 195–197, 1996.

    Article  PubMed  CAS  Google Scholar 

  4. KARACAN I. - Painful nocturnal penile erections. Sleep, 19, 136–138, 1996.

    Google Scholar 

  5. KARACAN I., ASLAN C., HIRSHKOWITZ M. - Erectile mechanisms in man. Science, 220, 1080–1082, 1983.

    Article  PubMed  CAS  Google Scholar 

  6. LAVIE P. - Penile erections in a patient with near total absence of REM: a follow-up study. Sleep, 13, 276–278, 1990.

    PubMed  CAS  Google Scholar 

  7. LAVOISIER P., PROULX J., COURTOIS F., DE CARUFEL F., DURAND L.G. - Relation between perineal muscle contractions, penile tumescence and penile rigidity during nocturnal erections. J. Urol., 139, 176–179, 1988.

    PubMed  CAS  Google Scholar 

  8. LAVOISIER P., ALOUI R., IWAZ J., KOKKIDIS M.J. - Considération sur la physiologie de l’érection pénienne.Prog. Urol., 2, 119–127, 1992.

    PubMed  CAS  Google Scholar 

  9. MATTHEWS B.J., CRUTCHFIELD M.B. - Painful nocturnal penile erections associated with rapid eye movement sleep. Sleep, 10, 184–187, 1987.

    PubMed  CAS  Google Scholar 

  10. MITCHELL J.E., POPKIN M.K. - Antidepressant drug therapy and sexual dysfunction in men.A review. J. Clin. Psychopharmacol, 3, 76–79, 1983.

    CAS  Google Scholar 

  11. SCHMIDT M.H., SCHMIDT H.S. - The ischiocavernous and bulbospongious muscles in mammalian penile rigidity. Sleep, 16, 171–183, 1993.

    PubMed  CAS  Google Scholar 

  12. STACKL W., HASUN R., MARBERGER M. - Intracavernous injection of prostaglandin El in impotent men. J. Urol, 140, 66–68, 1988.

    PubMed  CAS  Google Scholar 

  13. STEIGER A., HOLSBOER F., BENKERT O. - Effects of brofaremine (CGP 11 305A), a short-acting, reversible, and selective inhibitor of MAO-A on sleep, nocturnal penile tumescence and nocturnal hormone secretion in three healthy volunteers.Psychopharmacology, (Berlin), 92, 110–114, 1987.

    Article  PubMed  CAS  Google Scholar 

  14. STEIGER A., BENKERT O. - Examination and treatment of sleep related painful erections. A case report. Arch. of Sex Behav., 18, 263–267, 1989.

    Article  CAS  Google Scholar 

  15. VELEK M., STANFORD G.K., MARCO J. - Priapism associated with concurrent use of thioridazine and metoclopramide. Am. J. Psychiatry, 144, 827–828, 1987.

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2003 Springer Science+Business Media New York

About this chapter

Cite this chapter

Calvet, U. (2003). Sleep related painful erections. In: Billiard, M. (eds) Sleep. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-0217-3_55

Download citation

  • DOI: https://doi.org/10.1007/978-1-4615-0217-3_55

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-4970-9

  • Online ISBN: 978-1-4615-0217-3

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics