Advertisement

Sleep pp 657-662 | Cite as

Sleep related painful erections

  • U. Calvet

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].

Keywords

NREM Sleep Nocturnal Penile Tumescence Nocturnal Erection Painful Erection Penile Rigidity 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    BLIN O., SCHWERTSCHLAG U.S., SERRATRICE G. - Painful clitoral tumescence during bromocriptine therapy. Lancet, 337, 1231–1232, 1991.PubMedCrossRefGoogle Scholar
  2. 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.PubMedGoogle Scholar
  3. 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.PubMedCrossRefGoogle Scholar
  4. 4.
    KARACAN I. - Painful nocturnal penile erections. Sleep, 19, 136–138, 1996.Google Scholar
  5. 5.
    KARACAN I., ASLAN C., HIRSHKOWITZ M. - Erectile mechanisms in man. Science, 220, 1080–1082, 1983.PubMedCrossRefGoogle Scholar
  6. 6.
    LAVIE P. - Penile erections in a patient with near total absence of REM: a follow-up study. Sleep, 13, 276–278, 1990.PubMedGoogle Scholar
  7. 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.PubMedGoogle Scholar
  8. 8.
    LAVOISIER P., ALOUI R., IWAZ J., KOKKIDIS M.J. - Considération sur la physiologie de l’érection pénienne.Prog. Urol., 2, 119–127, 1992.PubMedGoogle Scholar
  9. 9.
    MATTHEWS B.J., CRUTCHFIELD M.B. - Painful nocturnal penile erections associated with rapid eye movement sleep. Sleep, 10, 184–187, 1987.PubMedGoogle Scholar
  10. 10.
    MITCHELL J.E., POPKIN M.K. - Antidepressant drug therapy and sexual dysfunction in men.A review. J. Clin. Psychopharmacol, 3, 76–79, 1983.Google Scholar
  11. 11.
    SCHMIDT M.H., SCHMIDT H.S. - The ischiocavernous and bulbospongious muscles in mammalian penile rigidity. Sleep, 16, 171–183, 1993.PubMedGoogle Scholar
  12. 12.
    STACKL W., HASUN R., MARBERGER M. - Intracavernous injection of prostaglandin El in impotent men. J. Urol, 140, 66–68, 1988.PubMedGoogle Scholar
  13. 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.PubMedCrossRefGoogle Scholar
  14. 14.
    STEIGER A., BENKERT O. - Examination and treatment of sleep related painful erections. A case report. Arch. of Sex Behav., 18, 263–267, 1989.CrossRefGoogle Scholar
  15. 15.
    VELEK M., STANFORD G.K., MARCO J. - Priapism associated with concurrent use of thioridazine and metoclopramide. Am. J. Psychiatry, 144, 827–828, 1987.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2003

Authors and Affiliations

  • U. Calvet
    • 1
  1. 1.Laboratoire de Neurophysiologie CliniqueClinique St. Jean LanguedocToulouseFrance

Personalised recommendations