I posted this deep within another thread, but I would be interested in comment so I am reposting it with advance request for indulgence for a re-post.
From the descriptions of the hard flaccid syndrome, I think that if it is a real separate entity , then it would be a vascular injury, rather than neurologic or urologic. Essentially engorged blood causes erections through a very complex process involving neurological, emotional, vascular, and urological functions. A true hard flaccid would mean that the blood never really leaves the chambers. I could hypothesize that vigorous PE could damage small blood vessels and interfere with the vascular functions and leave excess blood in the chambers ("corpora cavernosa"). If that is true, then the "cure" would be complete rest until the blood vessels repair themselves. If you keep pushing through this, then in all likelihood, you can cause chronic injury which would require even longer to repair. In contrast to some of the very specious neurological injuries that are sometimes alleged in this and other forum, but not really well defined, it is very easy to cause vascular injuries, and they need rest and time to repair. In other words, I think venous leak is a real problem and this may be a less severe subset of that type of injury.
Basically, when erection occurs, arteries swell and veins constrict within the corpora cavernosa. In a non-erect state, the arteries that bring b*lood into the corpora cavernosa are somewhat constricted, while the veins that drain the blood from the penis are open. There is no way for pressure to build inside the penis. In this state, the penis is limp. If you damage the veins during PE, it can cause the blood to not drain fully and cause what could be described as a "hard flaccid" or partially pressurized corpora cavernosa.
And the other problem is that many PE exercises are essentially an effort to force excess blood into the vascular system so that growth occurs, which in turn requires that the veins continue to restrict an ever increasing blood flow. So, if you are prone to this problem, then you may need to redirect your efforts into exercises that do not do this, i.e. stretching, hanging, or extending. Otherwise, you will injure yourself. And remember, that even with hanging, stretching, and extending, you are still stretching various blood vessels so injury is possible. I just think that the more pressing problem with those prone to this condition, is increasing the internal pressure of the vessels (veins). And remember you are increasing pressure both before and after the "ligature" point, so it is unclear whether the point of injury occurs within the penis, or somewhere a bit further along.
Again, this is a theory, but it appears consistent with basic penile anatomy. My hypothesis is that folks who have experienced "hard flaccid" syndrome have either overworked pressure building exercises, or have weak vessels to begin with.
From the descriptions of the hard flaccid syndrome, I think that if it is a real separate entity , then it would be a vascular injury, rather than neurologic or urologic. Essentially engorged blood causes erections through a very complex process involving neurological, emotional, vascular, and urological functions. A true hard flaccid would mean that the blood never really leaves the chambers. I could hypothesize that vigorous PE could damage small blood vessels and interfere with the vascular functions and leave excess blood in the chambers ("corpora cavernosa"). If that is true, then the "cure" would be complete rest until the blood vessels repair themselves. If you keep pushing through this, then in all likelihood, you can cause chronic injury which would require even longer to repair. In contrast to some of the very specious neurological injuries that are sometimes alleged in this and other forum, but not really well defined, it is very easy to cause vascular injuries, and they need rest and time to repair. In other words, I think venous leak is a real problem and this may be a less severe subset of that type of injury.
Basically, when erection occurs, arteries swell and veins constrict within the corpora cavernosa. In a non-erect state, the arteries that bring b*lood into the corpora cavernosa are somewhat constricted, while the veins that drain the blood from the penis are open. There is no way for pressure to build inside the penis. In this state, the penis is limp. If you damage the veins during PE, it can cause the blood to not drain fully and cause what could be described as a "hard flaccid" or partially pressurized corpora cavernosa.
And the other problem is that many PE exercises are essentially an effort to force excess blood into the vascular system so that growth occurs, which in turn requires that the veins continue to restrict an ever increasing blood flow. So, if you are prone to this problem, then you may need to redirect your efforts into exercises that do not do this, i.e. stretching, hanging, or extending. Otherwise, you will injure yourself. And remember, that even with hanging, stretching, and extending, you are still stretching various blood vessels so injury is possible. I just think that the more pressing problem with those prone to this condition, is increasing the internal pressure of the vessels (veins). And remember you are increasing pressure both before and after the "ligature" point, so it is unclear whether the point of injury occurs within the penis, or somewhere a bit further along.
Again, this is a theory, but it appears consistent with basic penile anatomy. My hypothesis is that folks who have experienced "hard flaccid" syndrome have either overworked pressure building exercises, or have weak vessels to begin with.
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