Korean J Androl.  2009 Apr;27(1):59-62.

A Case of Tadalafil associated Priapism

Affiliations
  • 1Department of Urology, College of Medicine, Yeungnam University, Daegu, Korea. khmoon@med.yu.ac.kr
  • 2Department of Urology, College of Medicine, Catholic University of Daegu, Daegu, Korea.

Abstract

We report here on a case of priapism that was associated with the use of tadalafil. A 41 year-old-man visited our urology outpatient department with a relapsed erection he'd experienced for 3 days. He had no contributing factors for the priapism. He had taken tadalafil, which was prescribed at a local medical center 3 days previously. After the development of priapism, he first visited the emergency department of other hospital. Aspiration was done and then the priapism was resolved. Yet the priapism recurred 2 days later, andaspiration and other bedside management failed to resolve it. After his arrival to our department, weimmediately performed a caverno-glandular shunt with 18-gauge needle and we observed bright reddish- color blood. An intracorporal ephedrine injection and saline irrigation were then done. After that, the patient gradually experienced detumescence. The priapism did not recur during the 2 days of the hospitalization period. At the outpatient follow-up of 3 months later, patient almost recovered to his full erectile function and he had normal sexual activity.

Keyword

Priapism; Tadalafil

MeSH Terms

Carbolines
Emergencies
Ephedrine
Follow-Up Studies
Hospitalization
Humans
Needles
Outpatients
Priapism
Sexual Behavior
Urology
Tadalafil
Carbolines
Ephedrine
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