[Priapism following intracavernous injection of vasoactive substances as a urologic emergency]

Author(s): Papadopoulos I, Weichert-Jacobsen K, Wand H

Affiliation(s): Abteilung Urologie im Klinikum, Universitat Kiel.

Publication date & source: 1990-05, Z Urol Nephrol., 83(5):233-7.

From 1986 to 1989 papaverine was used alone or in combination with phentolamine in 165 patients in diagnosis and treatment of erectile dysfunction. In 14 patients a prolonged erection did occur after diagnostical introduction of SKAT therapy. Treatment consisted of intracavernous injection of 2-4 mg metaraminol, partly additional by puncture of cavernous bodies and evacuation of viscous blood. As single complication of metaraminol injection a hypertensive crisis could observed. A glando-cavernous shunt was not necessary in any case. After exact dosage adjustment the danger of drug-induced priapism is low.