[Priapism following intracavernous injection of vasoactive substances as a urologic emergency].
From 1986 to 1989 papaverine was used alone or in combination with phentolamine in 165 patients in diagnosis and treatment of erectile dysfunction. In 14 patients a prolonged erection did occur after diagnostical introduction of SKAT therapy. Treatment consisted of intracavernous injection of 2-4 mg metaraminol, partly additional by puncture of cavernous bodies and evacuation of viscous blood. As single complication of metaraminol injection a hypertensive crisis could observed. A glando-cavernous shunt was not necessary in any case. After exact dosage adjustment the danger of drug-induced priapism is low.
Papadopoulos
I
I
Abteilung Urologie im Klinikum, Universität Kiel.
Weichert-Jacobsen
K
K
Wand
H
H
D000328:Adult; D000368:Aged; D004359:Drug Therapy, Combination; D004630:Emergencies; D007172:Erectile Dysfunction / Q000188:drug therapy*; D006801:Humans; D008297:Male; D008680:Metaraminol / Q000008:administration & dosage; D008875:Middle Aged; D010208:Papaverine / Q000008:administration & dosage / Q000009:adverse effects*; D010646:Phentolamine / Q000008:administration & dosage / Q000009:adverse effects*; D011317:Priapism / Q000139:chemically induced* / Q000188:drug therapy
D008680:Metaraminol; D010208:Papaverine; D010646:Phentolamine
Der Priapismus nach intracavernöser Injektion vasoaktiver Substanzen als urologischer Notfall.