Painful rigidity requires urgent attention

A man presents to ED with a painful erection

Edward is a 47-year-old male who presents to the ED with a painful erection that has been ongoing for five hours.

groin

He has had a previous episode lasting three hours, with detumescence following a cold shower and taking oral pseudoephedrine 60mg for a cold.

He has no other history of sexual dysfunction.

He has a history of lumbar back pain and a remote history of pelvic trauma following a motorcycle accident 20 years ago.

He is not on any regular medications, and denies recreational drug use.

Examination

He exhibits a rigid erection with

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