title: Multiple retained needles: an unusual complication of intracavernous self-injection.
abstract: Intracavernous self-injection of pharmacologic agents is an effective method of treatment of erectile dysfunction. Intracorporeal needle breakage is a rare complication of intracavernosal self-injection. We report an unusual case of multiple retained needles in a 44-year-old man who presented with penile edema after intracavernous self-injection complicated by needle breakage. The patient was treated with nonoperative therapy and observed on a course of antibiotics to which he responded favorably. He continued to have good erectile function. We also present a review of the reported data and recommend a treatment strategy for the management of retained intracorporeal needles.
authors.affiliation: Department of Urology, Wayne State University School of Medicine, Detroit, Michigan 48201, USA. gbandi@wayne.edu
authors.forename: Gaurav
authors.initials: G
authors.lastname: Bandi
authors.forename: Atul
authors.initials: A
authors.lastname: Rajpurkar
authors.forename: Michael F
authors.initials: MF
authors.lastname: MacDonald
authors.forename: Chirpriya B
authors.initials: CB
authors.lastname: Dhabuwala
mesh_terms: D000328:Adult; D007172:Erectile Dysfunction / Q000188:drug therapy; D005547:Foreign Bodies / Q000209:etiology*; D006801:Humans; D015552:Injections, Intralesional / Q000295:instrumentation; D008297:Male; D009339:Needles; D010413:Penis