PMID: 11933312Apr 6, 2002Paper

Sildenafil induced priapism

The Bulletin of Tokyo Dental College
T AoyagiM Hata

Abstract

A 53 year-old Japanese man was referred to our hospital for persistent priapism, which had been induced by 200 mg (usual dose 25-50 mg) of sildenafil citrate (Viagra) three days earlier. He had a history of erectile dysfunction and had undergone penile injection therapy elsewhere; however, he had not used injection therapy this time. He obtained sildenafil personally without a doctor's prescription. He had not taken any other drugs that affect the metabolism of sildenafil, nor did he have any medical complications that might induce priapism. Since needle aspiration and irrigation were ineffective as first line therapy, surgical treatment was indicated to relieve the condition; a incision of tunica albuginea of both corpora cavernosa was made, and vigorous irrigation of saline washed out the blood clots. This is the first case report of priapism induced by sildenafil. Although this drug can be obtained through private commerce, it should be used under professional guidance as its abuse may lead to severe morbidity.

References

Aug 1, 1996·British Journal of Urology·M BoolellM J Allen
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Citations

Oct 18, 2002·Journal of the American Geriatrics Society·Nizaamuddeen Toofanny, Michael E Maddens
Jul 11, 2003·The Journal of Urology·Guiting LinChing-Shwun Lin
Dec 19, 2007·Asian Journal of Andrology·Jiuhong YuanRun Wang
Jan 23, 2010·The Journal of Sexual Medicine·Gregory A BroderickRany Shamloul
Jun 28, 2011·The Journal of Sexual Medicine·Gregory A Broderick
Feb 8, 2011·Journal of Clinical Anesthesia·Brian J BravenecGirish P Joshi
Jul 30, 2005·Urology·Stephen H KingHunter Wessells
Oct 9, 2012·Lancet·Rany Shamloul, Hussein Ghanem
Dec 20, 2007·International Clinical Psychopharmacology·Shabnam SoodMaria-Jesus Bailon

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