Postoperative drug-induced priapism

BMJ Case Rep. 2017 May 31:2017:bcr2016218060. doi: 10.1136/bcr-2016-218060.

Abstract

We presented a case of a postoperative patient with low-flow priapism, possibly initiated by propofol-based anaesthesia or epidural anaesthesia. The delay in diagnosing priapism resulted in emergency interventions with a partially successful effect and eventually permanent erectile dysfunction. Due to the delay in treatment, erectile dysfunction ensued and was manageable with medication; hence, the patient decided against a penile prosthesis.

Keywords: anaesthesia; colon cancer; drug interactions; drug therapy related to surgery; urology.

Publication types

  • Case Reports

MeSH terms

  • Anesthetics, Intravenous / adverse effects*
  • Colonic Neoplasms / surgery
  • Diagnosis, Differential
  • Humans
  • Hypnotics and Sedatives / adverse effects*
  • Male
  • Middle Aged
  • Postoperative Complications / chemically induced
  • Postoperative Complications / diagnosis
  • Priapism / chemically induced
  • Priapism / diagnosis*
  • Propofol / administration & dosage
  • Propofol / adverse effects*

Substances

  • Anesthetics, Intravenous
  • Hypnotics and Sedatives
  • Propofol