J Korean Pain Soc.
1993 Nov;6(2):258-260.
A Case of Erection Failure due to Unilateral Lumbar Sympathetic Block
- Affiliations
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- 1Department of Anesthesiology, Sang Gye Paik Hospital, In je University School of Medicine, Seoul, Korea.
Abstract
- We experienced a rare case of erection failure which developed after unilateral lumbar sympathetic block. A 43 year old male patient suffering from reflex sympathetic dystrophy, which had developed after multiple communitted fracture of the right ankle, underwent right lumbar sympathetic block with 99.9% alcohol. The effectiveness of the lumbar sympathetic block was evaluated by monitoring the clinical symptoms, signs and temperature changes by digital infrared thermographic imaging. Postoperatively, the temperature of the affected side limb rose about 2degrees C, but the patient's conditions gradually returned to normal. Ten days after the operation the patient complainted of difficulty in achieving an erection. The patient was examined by a urologat without much results. The patient gradually recovered his ability to achieve an erection approximately 5 weeks after the lumbar sympathetic block.
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