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A man has had recurrent priapism for 20 years.
The name priapism is derived from the Greek god Priapos, the son of Aphrodite and Dionysus, who was depicted as a fertility god with an oversized, erect penis.
Repeated erections at night are normal. However, priapism is usually a painful permanent erection of the penis that cannot be attributed to sexual arousal and should be treated if it lasts longer than two hours. If left untreated - if it lasts longer - it can lead to erectile dysfunction. In priapism, both cavernous bodies of the penis are filled with blood and stiff due to venous stasis in the corpora cavernosa. However, the glans and the corpus spongiosum are flaccid. If the permanent erection persists for several days, there is a risk of fibrous transformation in the corpora cavernosa.

SYMPTOMS:
The bulbospongiosus muscle is probably involved in this SBS. This also serves to compress and empty the urethra after micturition (urination). In addition, its contraction supports or intensifies ejaculation. Tensing the bulbospongiosus muscle has the effect of stopping the return flow of venous blood from the penis. In physiological terms, this leads to an erection.
Cavernous body → originally old intestinal tissue → spasm.

Typical course in the conflict activity: Possibly still briefly capable erection in anticipation of arousal, but which "collapses" as soon as it gets down to business.
pcl phase → painful permanent erection → an emergency in conventional medicine, as there is a risk of damage to the erectile tissue.

REPORT:
A man in his mid-50s who desires his wife very much and often, even after years, is constantly accused by her of being "sex-obsessed". That's why she no longer likes sleeping with him. If something does start to happen, he receives instructions and reproaches from his wife every time before lovemaking about how the act should be carried out and, very importantly, "only cum from behind and then on his back, don't cum inside" - she doesn't want to get pregnant.

Priapism has been present for about 20 years. At first it was only sporadic, in recent years it has increased and for the last year (the divorce was 3 years ago) there has actually been daily, very painful priapism, which only subsides with a lot of drinking, so that the bladder almost bursts, followed by micturition.

The conflict that we work out in a therapeutic dialogue is that the man is not allowed to live out his sexual ambitions:
"I'm not allowed to be horny", as he puts it himself in an EFT session. This belief "I am not allowed to be horny" is worked on and decoupled. After years of suffering, his priapism disappears from one day to the next - permanently.