Korean J Anesthesiol.  2004 Sep;47(3):446-448. 10.4097/kjae.2004.47.3.446.

Anesthetic Management of the Patient with Persistent Penile Erection Developed after Spinal Anesthesia: A case report

Affiliations
  • 1Department of Anesthesia and Pain Medicine, College of Medicine, Korea. jtsohn@nongae.gsnu.ac.kr
  • 2Institute of Health Sciences, Gyeongsang National University, Jinju, Korea.

Abstract

A 50-year-old man with bladder cancer had spinal anesthesia for transurethral resection of bladder. After he had spinal block at the T8 level, he developed a persistent penile erection, making it impossible to introduce the 24 French cystoscope. To treat a persistent penile erection, intravenous glycopyrrolate was incrementally given for a total of 0.4 mg. A persistent penile erection was markedly subsided 5 minutes after last 0.2 mg glycopyrrolate was given. Then corpus cavernosum blood was aspirated. The cystoscope was easily introduced, and transurethral resection of bladder proceeded without further complication.

Keyword

glycopyrrolate; penile erection; spinal anesthesia

MeSH Terms

Anesthesia, Spinal*
Cystoscopes
Glycopyrrolate
Humans
Male
Middle Aged
Penile Erection*
Urinary Bladder
Urinary Bladder Neoplasms
Glycopyrrolate
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