title: Intracavernous epinephrine: a minimally invasive treatment for priapism in the emergency department.
abstract: Priapism is the prolonged erection of the penis in the absence of sexual arousal. A 45-year-old man, an admitted frequent cocaine user, presented to the Emergency Department (ED) on two separate occasions with a history of priapism after cocaine use. The management options in the ED, as exemplified by four individual case reports, in particular the use of a minimally invasive method of intracorporal epinephrine instillation, are discussed.
authors.affiliation: Department of Emergency Medicine, Mercy Hospital of Philadelphia, Philadelphia, Pennsylvania 19143, USA.
authors.forename: James R
authors.initials: JR
authors.lastname: Roberts
authors.forename: Christina
authors.initials: C
authors.lastname: Price
authors.forename: Tony
authors.initials: T
authors.lastname: Mazzeo
mesh_terms: D000328:Adult; D019970:Cocaine-Related Disorders / Q000150:complications; D004632:Emergency Medical Services / Q000379:methods*; D004837:Epinephrine / Q000008:administration & dosage / Q000627:therapeutic use*; D006801:Humans; D004091:Hydromorphone / Q000627:therapeutic use; D007267:Injections; D008297:Male; D008875:Middle Aged; D010413:Penis; D011317:Priapism / Q000188:drug therapy* / Q000209:etiology
chemical_list: D004091:Hydromorphone; D004837:Epinephrine