Sleep-related painful erections (SRPE) is a rare dis-
ordercharacterizedby recurrent painful nocturnal erectionsduring
REMsleepintheabsenceofpainduringdaytimeerections.Approx-
imately 35 cases of SRPE have been reported in the literature, none
of them associated with preceding sexual intercourse. We add the
report of a 40-year-old patient with a 6-year history of SRPE which
only, but always, occurred after sexual intercourse with ejaculation
in the evening before. As a result, the frequency of intercourse
diminished, causing relationship problems. A non-pharmaco-
logical solution was found in shifting the time of sexual inter-
course. The patient refused any proposed pharmacological treat-
ment, because of‘‘not wanting to be a patient at his age.’’

EB00000003891K

Available

• Sleep-Related Painful Erections Following Sexual Intercourse