title: Refractory priapism associated with ingestion of yohimbe extract.
abstract: Extracts of the bark of the central African tree Pausinystalia yohimbe contain yohimbine, an indole alkaloid, which is used to treat erectile dysfunction. The reported side effects of over-the-counter preparations of yohimbine include gastrointestinal upset, anxiety, increased blood pressure, headache, agitation, rash, tachycardia, and frequent urination. In this report, we describe a severe case of intractable priapism associated with the ingestion of yohimbe extract. Management required insertion of a proximal cavernosal spongiosum shunt (Quackles shunt) in the operating room.
authors.affiliation: Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, MD 21201, USA.
authors.forename: Amy
authors.initials: A
authors.lastname: Myers
authors.forename: Fermin
authors.initials: F
authors.lastname: Barrueto
mesh_terms: D000328:Adult; D006801:Humans; D008297:Male; D004366:Nonprescription Drugs / Q000009:adverse effects*; D032068:Pausinystalia / Q000009:adverse effects*; D024301:Plant Bark; D010936:Plant Extracts / Q000009:adverse effects*; D011317:Priapism / Q000139:chemically induced* / Q000601:surgery; D012720:Severity of Illness Index; D016896:Treatment Outcome; D013521:Urologic Surgical Procedures, Male
chemical_list: D004366:Nonprescription Drugs; D010936:Plant Extracts