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Case Reports
. 2009 Dec;5(4):223-5.
doi: 10.1007/BF03178272.

Refractory priapism associated with ingestion of yohimbe extract

Amy Myers  1 , Fermin Barrueto Jr
Affiliations
Case Reports

Refractory priapism associated with ingestion of yohimbe extract

Amy Myers et al. J Med Toxicol. 2009 Dec.

Abstract

Extracts of the bark of the central African tree Pausinystalia yohimbe contain yohimbine, an indole alkaloid, which is used to treat erectile dysfunction. The reported side effects of over-the-counter preparations of yohimbine include gastrointestinal upset, anxiety, increased blood pressure, headache, agitation, rash, tachycardia, and frequent urination. In this report, we describe a severe case of intractable priapism associated with the ingestion of yohimbe extract. Management required insertion of a proximal cavernosal spongiosum shunt (Quackles shunt) in the operating room.

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