A 32-year-old male presents with a painful erection lasting over four hours after taking a medication for erectile dysfunction. What could be the potential diagnosis and what are the next steps?
This presentation is consistent with priapism, a prolonged and usually painful erection unrelated to sexual stimulation. This condition can be associated with the use of erectile dysfunction medications. It is considered a urologic emergency as it can lead to tissue damage and subsequent erectile dysfunction if not treated promptly. Immediate urology consultation is required.