"Urological cold shower"--a novel treatment for intraoperative erection.
Intraoperative penile tumescence during endoscopic surgery is a troublesome complication and a challenge to the urologist. We describe a novel, convenient, safe, and readily available technique. We used an intracavernosal injection of epinephrine using a standard dental syringe and a cartridge of lidocaine 2% and epinephrine 1:80,000 to induce detumescence reliably.
Brierly
R D
RD
Department of Urology, Guys Hospital, London, United Kingdom.
Hindley
R G
RG
Challacombe
B J
BJ
Popert
R J
RJ
D000368:Aged; D000775:Anesthesia, Spinal; D004837:Epinephrine / Q000008:administration & dosage / Q000627:therapeutic use; D006801:Humans; D007267:Injections / Q000379:methods; D007431:Intraoperative Complications / Q000188:drug therapy*; D008012:Lidocaine / Q000008:administration & dosage / Q000627:therapeutic use; D008297:Male; D010410:Penile Erection / Q000187:drug effects* / Q000502:physiology; D010413:Penis / Q000187:drug effects; D011471:Prostatic Neoplasms / Q000601:surgery; D020728:Transurethral Resection of Prostate / Q000379:methods*; D016896:Treatment Outcome
D008012:Lidocaine; D004837:Epinephrine