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Dr. Vikram Chauhan - MD (Ayurveda)

Wednesday, August 26, 2020

Alternative treatment for Non-Ischemic priapism with Herbal Remedies

Non-Ischemic priapism is erection of penis without any sexual stimulus or sexual desire. Non- Ischemic priapism or high blood flow priapism is a medical condition that occurs due to unregulated arterial blood flow within penis. This condition is less common and less painful as compared to ischemic priapism. The main reason behind this condition is blunt trauma to perineal region or directly to penis or scrotum. This article covers types of priapism, ethology, diagnosis and management as per Ayurveda. General treatment includes surgical intervention thus it's better to choose alternative treatment which is based on herbal supplements.

Non-Ischemic priapism


As we have mentioned above Non-Ischemic priapism is a male disorder. Priapism is prolonged erection of penis which is without any sexual stimulus which last longer than 4 hours. Priapism is an uncommon condition which is not painful and but it is considered as a medical emergency. Priapism is of two types described below:


This type of priapism occurs due to lack of blood flow that leads to poor blood supply to chambers of corpus cavernosa resulting in painful erection. Males who are suffering from sickle cell anaemia, malaria, leukaemia, myeloma and who are on antidepressant therapy are more prone to this condition.


This type of priapism occurs when blood flow is usually more than normal. Although this condition is rare than ischemic type. Non ischemic type mainly occurs as a result of trauma or injury to the penis or to perineum (Area between scrotum and anus). Any damage to the artery supplying blood to penis leads to Non-Ischaemic priapism. Non-Ischemic priapism if left untreated leads to progressive fibrosis and erectile dysfunction.


Non-Ischemic priapism is a rare medical condition. It is persistent erection of penis occurs due to increased of blood. The symptoms of Non-Ischemic priapism vary in pain and blood flow as compare to ischemic type of Priapism.

  1. Penile erection more than 4 hours
  2. Absence of rigidity / flaccid erection
  3. Usually painless
  4. Erection without any sexual stimulus
  5. Presence of penile trauma or external injury


In order to understand aetiology of non-ischemic priapism, firstly we should understand normal physiology behind penile erection. In normal condition, normal physiological or sexual stimulus causes contraction of blood vessels which leads to increased blood flow to the penis. Increased blood flow causes erection of penis, after stimulus is over erection comes to normal docile condition. Any kind of sexual stimulus initiate sending signals from brain to spinal cord that leads to penile erection. The erectile tissue corpus cavernosa is sponge like tissue which is filled with blood and responsible for erection. The root cause of non-ischemic priapism is improper blood flow to the penis. There are following factors which are responsible for unnatural blood flow to the penis:

  1. Any kind of external injury to perineum
  2. Spinal cord injury

The main cause of Non- Ischemic priapism is injury due to which excess amount of blood is pumped to penis resulting into its erection.


The diagnosis of any disease depends on various factors such as complete history, current and past medical history. Diagnosis of non-ischemic priapism is made on the basis of complete medical history and physical examination. The proper diagnosis is made on the basis of below investigations to know the type of Priapism:

  1. Color doppler examination
  2. Blood gas testing (High blood flow indicates increased level of Ph)


Non- Ischemic priapism is a rare condition but its progression can cause severe complications. When erection is present for longer time, it can cause destruction of erectile tissue. High blood flow can cause permanent damage of erectile tissue resulting in erectile dysfunction and progression of disease also leads to other sexual problems.


Planet Ayurveda offers an effective management of Non- Ischemic priapism. The main goal of Planet Ayurveda is to manage any disease with herbal supplements. These herbal supplements are free of any chemicals and preservatives hence has no side effects. Following herbal supplements are included for managing Non- Ischemic priapism:


  1. Pitta Balance
  2. Arjuna Capsules
  3. Curcumin Capsules
  4. Manjishtha Capsules

Herbal Remedies For Non-Ischemic Priapism

Herbal Remedies for Non-Ischemic Priapism


1. Pitta Balance

Pitta balance is an Ayurvedic preparation by Planet Ayurveda. Pitta balance helps in balancing pitta dosha in the body. It is prepared by various combination of herbs that has calming effect on body. Pitta balance has ingredients like Parval pisthi (Coral calcium), Akik pisthi (Agate calcium), Kamdudha ras, Mukta pisthi and Giloy (Tinospora cordifolia) etc. These capsules maintain normal blood flow to various parts of the body.

DOSAGE- 1 capsule twice daily after meals with normal water.

2. Arjuna Capsules

Arjuna (Terminalia arjuna) is the main ingredient of Arjuna capsules. In Ayurveda Arjuna is considered as best herb for balancing three doshas (Vata, Pitta and Kapha) and supports normal blood circulation. These capsules are very beneficial for managing Non- ischemic priapism and prevent its further progression.

DOSAGE- 2 capsules twice daily with normal water after meals.

3. Curcumin Capsules

Curcumin capsules are prepared by standardized extracts of Curcumin (Curcuma longa). Curcumin has healing properties and it is used in various herbal supplements due to its medicinal properties. Curcumin is rich in antioxidant and anti-inflammatory properties hence very useful to prevent complications of Non – Ischemic priapism.

DOSAGE- 2 capsules twice daily with normal water after meals.

4. Manjishtha Capsules

Manjishtha capsules are prepared with extracts of Manjishtha (Rubia cordifolia). The main action of this herb is to stabilize vitiated pitta dosha in the body which is the main culprit behind Non-Ischemic priapism. Manjishtha has anti-inflammatory properties which is helpful in treating Non-Ischemic priapism.

DOSAGE- 2 capsules twice daily with normal water after meals.

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This article has explained various aspects of Non-Ischemic priapism in detail. It is concluded from above discussion that Non -Ischemic priapism is a type of priapism which is less painful and can be managed easily with regular use of herbal supplements. Planet Ayurveda has formulated above combination of herbs which are highly recommended in treating Non- Ischemic priapism.

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