A Service you can trust – My Canadian Pharmacy

My Canadian Pharmacy Service

My Canadian Pharmacy http://www.mycanadianpharmacyrx.com is one of the leading online pharmacy services on the web today. We are pleased to offer customers the very best offers on all sorts of drugs and medications. Since we established ourselves as a high-quality provider of services, we have grown rapidly and earned the trust of hundreds of users all over the world. Unfortunately, the internet is full of many different scam artists that try to take advantage of customers, and we are proud to rise above them and offer a service people can trust. Without this trust and support from our vast base of fans and users, we would not be able to become the great website that we are today.

Stock your drug cabinet with only the best items

If you take some time to look through our offers, you will see a very diverse set of high-quality drugs used for treating dozens of different conditions. However, we are especially proud of and known for the Viagra drugs that we offer. Viagra is a drug used to treat one of the biggest problems in male sexual health – erectile dysfunction. This drug was developed by a team of British scientists working at Brand pharmaceutical company. Research began more than 30 years ago, and it was focused on treating hypertension and angina with the help of a compound named Sildenafil Citrate.

However, the purpose of the drug we are familiar with today was as a surprise. During trials on patients with hypertension and angina, many men reported experiencing erections later, and this prompted the research team to consider if they could make this drug serve a much more essential purpose. In the end, they were successful, and the first Viagra drug was approved and sold in 1998. The buzz it generated all over the world was so big that other companies rushed to mimic its success, eventually producing some of the Viagra alternatives we see on store shelves today. Most of these drugs have their own tweaks and advantages, but Viagra still reigns supreme in popularity and accessibility.

The reason why most men can benefit from Canadian Viagra

If you’re a sexually mature man, you are probably quite familiar with the many unexpected things that can cause erection or stop it. Erections can occur and disappear at the most inopportune moments, but the most common place for this is obviously the bedroom. Failing to get an erection in the bedroom is disappointing, but not catastrophic. All adult men sometimes experience thoughts or things that turn them off, and they can easily remedy the problem by popping a Canadian Viagra pill. However, there are also millions of men who suffer from this problem continuously, and it is named erectile dysfunction. Men with erectile dysfunction are not able to achieve an erection or keep it up during sex for a number of possible reasons.

One of the most common causal factors for this condition is aging. Men over the age of 60 often get a range of illnesses and experience reduced sexual function, requiring them to get a boost in the shape of this pill. However, not only the aging are affected. Many men suffer from diabetes, multiple sclerosis, neurogenic disorders, and other conditions that directly cause erectile dysfunction or contribute to its occurrence. Another large group of ED patients engage in unhealthy lifestyles: smoking, drinking and eating excessively, doing drugs, all of which have been linked to erectile dysfunction. Sometimes, ED occurs as a result of a psychological state or mental illness. Men who experience performance anxiety, stress, depression, and feelings of fear and inadequacy are very likely to have this sexual dysfunction. Furthermore, it can also occur as a result of surgery or a medication’s side effect.

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Quality does not always come with a high price tag

If you look at the drugs featured on our site, you’ll notice that their prices are very low, far below those offered by big pharmaceutical companies and ordinary pharmacies. One of the reasons for this is because many of these drugs are generic. Generic drugs are a phenomenon which not everyone understands, but which can benefit every consumer. To develop a drug, a company will spend lots of time and resources, expecting to be rewarded for their hard work with astounding profit. Even though this is true for most drugs, and they are able to set the prices they want on newly patented drugs, these patents can expire with time or cease working due to other events and factors.

When this occurs, the government makes it possible for other drug makers to produce a generic version of drug, as long as they use the same methods, ingredients and create an equivalent of the original drug. As a rule, there will be very strict controls in place to make sure that a generic matches the original in every way, from its indications and dosage to its side effects and unique characteristics. As long as many companies produce generic drugs like Canadian Viagra, you will be able to find fair prices and get the same quality that you would from a strictly original version.

You are one click away from the best deals

Another reason why the drugs we feature on our website are so affordable lies in the very nature of online pharmacies. Real pharmacy shops employ many workers, fall under government regulation, and require such necessities as office space, heating, plumbing, etc. while online stores are much more efficient and tightly knit. Using our site, you will be able to find and purchase what you need in a matter of minutes while consumers who have not yet discovered the joys of shopping online still take hours driving to pharmacies and hoping that what they need is in stock. Although we pride ourselves in offering a diverse range of deals, features, and information about different drugs, we also understand that you may have questions about what we do. Fortunately, you can always get in touch through different contact methods, and we will do our best to resolve your grievances, answer questions, and take your thoughts and feedback into attention.

The blue pills magic – all you need is the quality Viagra

Overcoming erection problems can be tough, especially when you are using low-quality products. If my cautionary story will help at least one person to get rid of ED issues effectively, I would be more than happy, as I know a lot about psychological suffering.

So everything was just perfect – I have a good job, a charming wife and everything I have always wanted to have. Sportcar and mansion ambitions have never been on the list of my priorities – a manufacturing line operator, I’ve been doing my thing and happy with how my life was going… everything seemed to be perfect until the day our company has filed for bankruptcy. That was a bolt from the blue – the nerve-wrecking process heralded a tough year of stress and breakdowns. When you turn 32, your body is not getting younger – you sense the process of getting older with your skin… and erection problems seemed to be a logical addition to the state of affairs. How could I been that blind, I don’t know. I’ve started wriggling out of close contacts with my wife, which naturally led to conflicts and serious quarrels. The problems have been eating me from every end, and I didn’t know where to fight back.

Overwhelmed with hopelessness, I’ve bought Viagra pills quite spontaneously – I’ve jumped on the web and ordered Viagra in just a couple of minutes. The process of delivery took 2 weeks and honestly I was going to take my courage in both hands and buy the original drug (I regret I didn’t do that), but the package was finally delivered. A no-name pack with pills of strange color… are you kidding me? But I didn’t control my actions well back in those times… 3 failed attempts have resulted in even deeper depression and totally ruined relations with my wife. My marriage was on the edge of collapse.

The disaster seemed to be inevitable, when a friend of mine came to the rescue with a piece of wise advice. So I’ve decided to take another chance with Viagra – I’ve ordered the pills at Canadian pharmacy www.canadianhealthcaremalll.com as Joseph has convinced me I was wrong about my choice and I should have tried a better place to get pills at. And it work. I’ve realized that a quality product can indeed work wonders!

So I’ve got my delivery 2 days after I’ve completed an order. A discreet, nicely-wrapped package was delivered to the door – you wouldn’t have a chance to understand that was Viagra. The most challenging part was to get my wife in bed, as for the drug – it left nothing to be desired. I’ve consumed a pill 30 minutes before the intimacy started and the first intense sex after a long break was just a breath of fresh air. A week of love and passion has changed my life forever – life challenges you, and if you don’t break, it makes you even stronger and happier. I’ve managed to return to normality with the pills from Canadian Pharmacy in as little as a couple of weeks. Living a full life, I have found another job and started living my life.

So if you decided to give ED pills a try – buy them at proven and reliable places. I could have helped myself way earlier. And you can too.

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Generic Viagra in  Online Pharmacy – FAQ, Drug Info, Interactions, Advantages

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Is Impotence Related to Aging?

Viagra samples

Amidst the zooming popularity of Viagra blue pills, data reveal that almost 30 million men in America have problems with impotence problems (ED), more commonly called male impotence. About 39% of men encounter problems in getting and keeping erections by the time. The critical issue is, is erectile dysfunction associated with aging? Viagra samples

It could be recognized that your sexual potency can be reduced by old age and allow it to be hard that you get erections in response to sexual arousal. And for those who happen to be a regular smoker for the past 30 years, odds are quite high that arterial plaques make sure that it remains hobble during sexual affair and can obstruct the flow of blood in your penis.

Several clinical trials show the typical age for the initial hint of impotence is all about 65 years. Only at that age, a guy has a tendency to experience either inconsistent power to get and keep erections, or complete failure to take action. Obesity and dearth of physical fitness also can increase the difficulty. Treatment impotence with Free Viagra Samples.

But matters get complicated with the simplest of happiness, as well as age for granted stay so easy that you just took. With age, tension and anxiety mountain for many guys, compelling you to become cautious in what you respond and do in a measured way to scenarios that are various. And sex is the last thing you could appreciate in taciturn and calculative manners. It requests you of the precise reverse – you have to be impulsive and fun-loving to love sex.

Now that you got the answer you’ve been searching for, let us find the remedy to your own issue out. Step one to erectile dysfunction treatment would be to throw away the age old prejudices about sex and old age. The importance of sexual intimacy isn’t restricted to age by any means. Being old doesn’t mean you CAn’t benefit from the physical warmth of togetherness by means of your partner. Another phase would be to seek out a sexual health practitioner, preferably a urologist or a health care provider, and possess a frank discussion about your issue. It is accepted by the US Food and Drug Administration and is among the very well received impotence pills.

The advantages to the physician managing a critically ill patient

This communication has focused on the effect of AN on QRS potential amplitudes; however, AN exert its effect proportionally on the entire QRST curve; consequently “dwarfing,” or virtual disappearance of the P waves occasionally occurs. When this happens, the clinician is presented with an ECG showing low-voltage QRS complexes and no P waves. When the prevailing heart rates are within the normal range, one can assume that the underlying rhythm is still normal sinus rhythm; however, patients with critical care illnesses are prone to both bradycardia and tachycardia, and when such complications arise, it becomes problematic to diagnose the specific rhythm or conduction disorder using the standard ECG. In such an occasion, even employment of special surface ECG leads is noncontributory, and resorting to esophageal or intracardiac electrography becomes necessary.

Why is it important for critical care Viagra in Australia physicians to be aware of the above? What are the implications for the care of patients with critical illness?

Recognizing this AN/low-voltage ECG association provides the following advantages to the physician managing a critically ill patient: (1) low-voltage ECG is not automatically connected to the presence of a pericardial effusion; (2) when a pericardial effusion is ruled out by echocardiography, the presence of low-voltage ECG can be explainable in the setting of weight gain, positive intake and output records, or visible fluid accumulation or AN; (3) in the presence of discrepancy of data pertaining to fluid status of a patient, based on weights, physical examination, or intake/output balance records, review of serial ECGs may be of great help; this issue is of importance in the bedridden patient with a critical illness where weighing by sling scales and accurate intake/output record keeping becomes problematic; (4) the puzzling disappearance of ECG evidence of left ventricular hypertrophy, in a patient known to carry such a diagnosis prior to the development of AN, finds an explanation; and (5) the absence of P waves in the ECG in a patient with AN does not necessarily imply the presence of an AV junctional rhythm or junctional tachycardia; often the rhythm is merely normal sinus or sinus tachycardia in association with “invisible” P waves. Correct identification of the rhythm can be accomplished by intracardiac or esophageal ECG, or by employing a saline solution-filled central venous catheter ECG lead, as shown recently.

The Influence of Infection on Hospital Mortality for Patients Requiring 48 h of Intensive Care

Microbiologically confirmed infections are common among patients requiring medical intensive care for 48 h. Despite the administration of adequate antimicrobial therapy, microbiologically confirmed infections appear to be an important cause of hemodynamic instability and increased hospital mortality. These data suggest that clinical efforts aimed at the prevention of infections and improvements in the medical management of patients with severe infections, especially those associated with hemodynamic instability and the need for vasopressors, are required to achieve further improvements in patient outcomes.

Bacterial infections are common among patients requiring intensive care. In a 1-day point-prevalence study conducted in European ICUs, a total of 10,038 patients were reviewed, of whom 4,501 (44.8%) had a microbiologically confirmed infection. Pneumonia (46.9%), lower respiratory tract infection (17.8%), urinary tract infection (17.6%), and bloodfrequent types of infections described in these ICUs. The Enterobacteriaceae (34.4%), Staphylococcus aureus (30.1%), and Pseudomonas aeruginosa (28.7%) were the most common pathogens associated with infection. Similarly, among 181,993 patients admitted to medical ICUs in the United States, urinary tract infections were the most frequent nosocomial infection (31%), followed by pneumonia (27%) and primary bloodstream infection (19%). Bacterial infections were the most common cause of hospital-acquired infection with coagulase-negative staphylococci (36%), enterococci (16%), and S aureus (13%) being the most common blood isolates. P aeruginosa (21%) and S aureus (20%) were the most common isolates from pneumonia, and Candida albicans was the most common single pathogen isolated from the urine.

Despite the common occurrence of infections among patients requiring intensive care, there are few clinical data describing the overall impact of infections on patient outcomes, especially hospital mortality. Most recently, the influence of inadequate or delayed antimicrobial treatment of serious infections on hospital mortality has been well-described. Therefore, we performed a prospective cohort study with two main goals. The first goal was to establish the frequency of microbiologically confirmed infections among patients requiring 48 h of medical intensive care. Our second goal was to describe the relationship between microbiologically confirmed infections and hospital mortality in this patient cohort.

The antitussive effect of baclofen observed

A recent report has described the ability of baclofen to suppress cough due to angiotensin-converting enzyme inhibition. In that study, initial symptomatic relief was noted after 3 to 6 days of baclofen therapy, and maximal antitussive effect was achieved by 5 to 14 days. The 14-day course of baclofen used in the present study was based on these data.

The proposed mechanism of cough involves the stimulation of two types of receptors within the respiratory tract: rapidly adapting pulmonary stretch receptors (RARs) with thin, myelinated fibers in the vagus nerves, and C-fiber receptors with unmyelinated afferent fibers. RARs are believed to cause cough directly by sending impulses to the brainstem, whereas C-fiber receptors may mediate cough by releasing sensory neuropeptides within the airway, which subsequently activate RARs to cause cough. The antitussive effect of baclofen observed in this study can be explained by central inhibition, as shown in animal studies, but may also involve peripheral inhibitory mechanisms. For example, baclofen has been shown to suppress the release of the protussive neuropeptide, substance P, from primary afferent neurons in rat trachea.

The results of the present study document the antitussive activity of a GABA-agonist in healthy human subjects. The demonstrated efficacy of low-dose oral baclofen supports further investigation of a potential therapeutic use for this Viagra Canada drugs, or other GABA-agonists, in the treatment of pathologic cough.

Invasive thymoma recently has been shown to be sensitive to combination chemotherapy and in some cases to be relatively indolent. Two cases of extensive thymoma which responded to primary treatment with a combination of a platinum compound (carboplatin or cisplatin), doxorubicin (Adriamycin), and cyclophosphamide (or РАС) are described. Tumor progression occurred 14 (case 1) and 60 months (case 2) after completion of initial РАС therapy and was treated with the same regimen resulting in a second remission, which lasted 6 months in case 1 and is continuing at 8 months in case 2. Similar reports of secondary responses using the same chemotherapy have been described in breast, lung, and ovarian cancers, as well as in Hodgkin’s lymphomas. Our observations suggest that retreatment with the same platinum-based regimen should be considered in patients who have progressive thymomas following a previous chemotherapeutic response and a disease-free interval of greater than 12 months.

Circumcision: The unkindest cut?

Adult circumcision

Adult circumcision is performed much less commonly than infant circumcision. It is more commonly done for medical reasons, such as phimosis, paraphimosis, recur-rent balanitis or posthitis.

What the **** are these, you say? Phimosis is a very tight foreskin that will not retract back over the glans penis. This may cause pain during erection Sildenafil Citrate Australia or intercourse (and, of course, you can’t have intercourse without an erection).

The mechanism is based on its ability to inhibit the enzyme called phosphodiesterase type 5 which does not permit to gain erection in men with manifested symptoms of ED. Thus sildenafil contained in Viagra promotes the release of cGMP (cyclic guanosine monophosphate) which induces the capillaries and blood vessels found within the penis to dilate and absorb as much blood as possible for stable and long-lasting erections.

Paraphimosis is a retracted foreskin that won’t slip back over the glans. This causes a painful swelling of the glans and when this happens acutely — say, after a bee sting while pissing in the bush — paraphimosis can be a urological emergency because it can seriously interfere with the ability to urinate. Michele’s most memorable case of paraphimosis was that of a small boy who peed on an electric fence — the electricity arced back and burnt his glans. Balanitis is inflammation or infection of the glans, and posthitis is an inflammation of the foreskin itself. None of these is very common — the most common is phimosis followed by paraphimosis.

As an adult, it is important that you understand the risks of circumcision before consenting to the procedure: these include bleeding, hematoma (a large bruise), infection, inadvertent damage to the glans, the taking of too much or too little foreskin and cosmetically displeasing results. Obviously, too, parents should be aware of these risks before formally consenting to circumcision for their newborn sons. As far as adult circs are concerned, it must also be understood that the sensations of intercourse may be different from before, not as sharp, it has been said, and that erections Cialis Australia Pharmacy may be painful in the post-op period and, in fact, may disrupt the stitches, so sex is a no-no at this time. Full recovery and return to sexual activity may take four to six weeks.

Local anaesthetic, blocking sensation to the whole penis, is used in adults, and the operation is usually done as an outpatient. Aftercare involves loose briefs and, if desired, petrolatum gauze dressings.

Once in a while, a man may have social or cultural reasons for requesting circumcision. Jeremy wanted to marry the love of his life, Rachel, but her family would not consent unless he converted to Judaism. Jeremy converted and included a semi-ritual circumcision conducted by both a physician and a rabbi. (Our urologist colleague Dr Arthur Cohen has helpfully informed us that ritual in this situation, rather than requiring full circumcision, can be served by a token surgical event — which he describes as ‘a prick on a prick’. Thanks, Arthur!)

Context for Understanding the 10 Sexual Health Learnings

Feelings Can Be Complicated

Often we have mixed feelings—we feel two or more things at the same time. For example, you may worry that a disagreement with your partner is impossible to resolve, feel hurt and irritated at yourself or your partner, and feel shame that you have failed to find a resolution—simultaneously.

You may focus on only one dimension of the energy (feeling) in your body, ignoring the other feelings. For example, focusing only on frustration, you may miss feelings of hurt and worry.

One feeling can be converted to another. A person who is taught to not feel anger may convert feelings of anger to shame. A person who is taught that anger is okay but fear isn’t may feel angry when afraid or threatened.

Feelings Are Useful

People tend to think of feelings as positive or negative depending on whether they agitate (like fear, anger, and guilt) or encourage (like plea-sure, joy, contentment, and satisfaction). Our approach to understanding feelings is to think of them as guides, or loyal friends, trying to get your attention so you’ll consider factors other than logic in your response to a situation. Feelings try to help you respond to different situations. Every feeling is good in terms of its purpose to serve you, protect you, and guide you. Your feelings of fer honest information. Listening for feelings is an important skill. Considering them offers you more data to incorporate into your choices about action (behavior).

Exercise: Listening for Your Feelings

Alone, provide yourself a quiet, relaxing atmosphere. Focus your attention on relaxing your body until you feel calm, centered, and comfortable. Then imagine that you are a miniature explorer traveling around inside your body, searching for different energies or feelings.

  • Where in your body do you experience joyful feelings? In your face, eyes, mouth? In your chest or legs?
  • Where in your body do you experience feelings of anxiety or fear? In your stomach? In your chest? In your cold hands?
  • Where in your body do you experience anger? In your hot cheeks or ears? In your throat or neck? In your stomach?
  • Where in your body do you experience feelings of sadness? Where in your body do you experience feelings of confusion, indecisiveness, ambivalence?
  • Where in your body do you experience feelings of sensuality and sexual desire?
  • Write down what you observe. Be specific about each feeling’s “location” in your body. What are you learning?

Are You Free to Feel?

Your feelings are valuable sources of personal information, but don’t let them run your life. It is not always a good idea to act on them—especially impulsive sexual feelings. Whether and how to act are ethical choices that you need to make. For example, a feeling of anger offers personal information to you about your situation, usually one in which you feel frustrated, treated unfairly, misinterpreted, hurt, threatened, or blocked. These feelings get your attention by agitating your body so you recognize the problem. What you do with this information is the issue.

The guiding principle is to accept your feelings and judge your behaviors. When you make this distinction between feelings and behaviors, you are free to feel. You can feel frustration and choose not to express this feeling to your partner. Rather, you can choose a more positive course by pausing to calm your body (feelings) and then asking your partner for a few moments to cooperatively discuss the matter. You want to learn from your feelings but not let them dictate to you. You want to listen to your feelings, consider their counsel, and then decide how to respond in a constructive, effective fashion. Integrating your feelings and reason gives you a more complete picture of your life, relationship, and sexuality.

Cardiovascular Issues in the Treatment of Erectile Dysfunction

The cardiovascular response to sexual activity worries a lot of men and women, particularly if a coronary or vascular event has already occurred. The fear of inducing another cardiac episode is fuelled by many myths including the assumption that sex is an extreme stress to the heart, driven to some extent by media/internet distortion. Adding the anxiety that treating ED may increase cardiac risk, and we have a recipe for relationship stress or breakdown and couple frustration. Many agree with the concept that ED is “a man’s problem but a couple’s concern” because it invariably is, though at times is not managed as such. Though this chapter addresses an organic condition, it is important not to compartmentalize ED too rigidly – men with organic ED may, and often do, have psychological problems as well, and men with a predominantly psychological etiology may also have organic issues.

Introduction

The link between erectile dysfunction (ED) and cardiovascular disease (CVD), specifically coronary artery disease (CAD), is now well established. We recognize that ED may be a marker for silent CAD as the common denominator in the majority of men over 30 years of age is endothelial dysfunction. In addition, up to 75% of men with CAD have some degree of ED, often presenting before the coronary event. The Second Princeton Consensus Conference, which focused on sexual dysfunction and cardiovascular risk, concluded that ED is a warning sign of vascular disease with the practical recommendation that a man with ED and no cardiac symptoms is a cardiac or vascular patient until proven otherwise. From these observations came the idea that ED in the absence of CAD symptoms offered an opportunity to reduce the risk of a coronary or vascular event by addressing the recognized CAD risk factors shared by ED and CAD. This proposal was strengthened by a series of publications pointing to an average time window of 3 years between ED and a CAD event.

The cardiovascular response to sexual activity worries a lot of men and women, particularly if a coronary or vascular event has already occurred. The fear of inducing another cardiac episode is fuelled by many myths including the assumption that sex is an extreme stress to the heart, driven to some extent by media/internet distortion. Adding the anxiety that treating ED may increase cardiac risk, and we have a recipe for relationship stress or breakdown and couple frustration. I have always liked the concept that ED is “a man’s problem but a couple’s concern” because it invariably is, though at times is not managed as such.

Therefore the cardiovascular issues that need to be addressed are:

  • Is sex safe statistically, but more importantly for the individual being counseled?
  • Can ED be safely treated in cardiac patients?
  • Can ED be a means of preventing subsequent CVD?

Though this chapter addresses an organic condition, it is important not to compartmentalize ED too rigidly – men with organic ED may, and often do, have psychological problems as well, and men with a predominantly psychological etiology may also have organic issues.

Priapism: Medical and Surgical Therapy

Priapism is a rare disorder, typified by a persistent penile erection, which is usually painful. Though rare, it is seen commonly in certain patient populations, e.g. sickle-cell disease. Priapism is a true urological emergency. Unfortunately, due to the general rarity of the disorder, many patients delay in seeking medical attention and medical practitioners may also be delayed in initiation of proper management. Priapism can also be quite a frustrating disorder to manage, as available treatment modalities may be unsuccessful in averting the dreaded complication of erectile dysfunction. Much has been learnt recently about the molecular pathophysiology of priapism. This may serve, in the future, as an opportunity for prophylaxis in patients with recurrent episodes of priapism. In addition, new innovations are being described in distal penile shunts, which may improve success rates of treatment. The current chapter outlines the etiology and pathophysiology of priapism, guidelines for management, and evolving treatment modalities.

Introduction Viagra in Australia

Priapism is defined as a persistent penile erection that continues beyond, or is unrelated to, sexual stimulation. It is a pathological process that must be distinguished from normal sleep related erections. Priapism generally involves the paired corpora cavernosa. However, there have been reports of involvement of the corpus spongiosum. There have also been reports of involvement of the clitoris, typically in women with advanced pelvic malignancies or on trazodone. Priapism is a true urological emergency which is a consequence of altered haemodynamics in the penile vasculature. It is essentially a compartment syndrome of the penis. As in compartment syndromes elsewhere in the body, a critical time period before permanent pathological sequelae, result is given. This time period is 4 h; however, it is not unusual to find patients presenting with longer episodes without permanent tissue damage.

As in many conditions in medicine, the name “priapism” has a historical origin. This name is credited to an ancient Greek god, Priapus. He was depicted as having an abnormally large phallus and as such the name priapism was given. It is said that a spell was cast upon Priapus while in his mother’s womb. He grew up with shepherds on earth. In Greek mythology he is known as the fertility god, protector of livestock, fruits, plants, and gardens. Many statues of this god were erected in ancient Greece, and Priapus was seen as a guardian deity.

Epidemiology

Several limitations exist in defining the true incidence of priapism in the population. Many patients with priapism may not present due to ignorance about the disorder or spontaneous resolution, which leads to an underestimate of the frequency of the condition. In addition, several population studies are limited by their retrospective nature and diagnosis misclassification.

Nevertheless, Eland et al. found an overall incidence in the Netherlands of 1.5 per 100,000 person years (the number of patients with a first episode of priapism divided by the accumulated person-time in the study population.

Certain populations deserve mention due to their high risk of developing priapism. Patients with sickle-cell disease are well studied, and prevalence rates of priapism are reportedly as high as 42%. The probability of experiencing priapism in patients with sickle-cell disease, by age 20 is 89%. The use of intracavernosal therapy for erectile dysfunction has led to an increase in the incidence rates in certain populations.