A student nurse learns about priapism
Seemingly mesmerized by a new discovery, student nurse Nicole was staring at the patient. After she began to blush, she asked me, “Uh, what's that?”
Connie, one of the experienced ER nurses, said, “If you don't know what that is, you don't know what you've been missing!”
“That,” I responded, “is neurogenic priapism.”
Nicole looked confused. “What?” she inquired.
Connie said, “It means he's got a boner because of his spinal cord injury.”
Nicole's confusion didn't abate. “He's comatose. How can he have an erection? And why is he having an erection? Is he excited?”
He would be if he could see what Nicole looked like, I thought to myself. “No, he's not aroused.” I then explained why priapism could result from a spinal cord injury.
Nicole was one of the rare ones, with both beauty and brains. She asked, “What happens to women with the same cord injury?”
Hmm, I'd never thought about that, and I'd never seen any trauma expert address that issue. “That's an excellent question, Nicole, and I don't know the answer to it. I assume that women would have clitoral engorgement and vaginal lubrication, which are the female equivalent of male erection.”
In our trauma training, we're taught to look for priapism as one of the indications of cord injury. If this is a sign worth noting, why should we ignore the corresponding physiological equivalent in women? Just some food for thought for you trauma gurus out there.
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Medical School Myths: Only surgery can enlarge the penis in adult men.
Like other doctors, in medical school I was taught that penis size is fixed at the end of puberty. I previously believed that, too, and the evidence seemed overwhelming. I then serendipitously discovered a way to trigger what amounts to a "second puberty" of penile growth. The only difference between this "second puberty" and real puberty in terms of penile growth is that the penile growth was much more dramatic the second time. My penis grew more in three weeks than it did during three years of puberty. I once believed that such a transformation was impossible, but I was wrong, and so were the professors who taught me that myth. Clearly, penile size is not necessarily fixed at the end of puberty if you provide the body with the proper stimulus to rekindle penile growth.
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