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KMID : 0356420090270010059
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Journal of Korean Andrology
2009 Volume.27 No. 1 p.59 ~ p.62
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A Case of Tadalafil associated Priapism
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Bae Jang-Ho
Moon Ki-Hak
Song Phil-Hyun
Kim Hyun-Tae
Shin Hong-Seok
Hyun Chang-Ho
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Abstract
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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, we immediately 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.
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KEYWORD
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Priapism, Tadalafil
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