Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2022 Jan-Mar;16(1):177-180.
doi: 10.4103/aer.aer_61_22. Epub 2022 Aug 9.

Successful Management of Intraoperative Priapism under General Anesthesia during Transurethral Surgery - A Case Series with Review of Its Management

Affiliations
Case Reports

Successful Management of Intraoperative Priapism under General Anesthesia during Transurethral Surgery - A Case Series with Review of Its Management

Wasimul Hoda et al. Anesth Essays Res. 2022 Jan-Mar.

Abstract

Penile erection under general anesthesia is a rare occurrence. It may cause delay, complications or can even lead to cancellation of an elective transurethral surgery. In literature, various methods and techniques have been mentioned with variable rates of success and side effects. However, the management becomes challenging and it needs a tailored approach according to the patient's clinical condition with the aim of minimizing complications. Hereby, reporting two cases of successful management of intraoperative priapism in patients undergoing transurethral surgery under general anesthesia.

Keywords: General anesthesia; intracavernous epinephrine; penile erection; penile nerve block; priapism; transurethral surgery.

PubMed Disclaimer

Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
(a): Intracavernous injection of epinephrine (b): Left dorsal penile nerve block (c): Right dorsal penile nerve block

References

    1. Staerman F, Nouri M, Coeurdacier P, Cipolla B, Guille F, Lobel B. Treatment of the intraoperative penile erection with intracavernous phenylephrine. J Urol. 1995;153:1478–81. - PubMed
    1. Blandy JP. Transurethral prostatectomy. In: Blandy JP, Lytton B, editors. The Prostate. London: Butterworths; 1986. pp. 51–61.
    1. Baltogiannis DM, Charalabopoulos AK, Giannakopoulos XK, Giannakis DJ, Sofikitis NV, Charalabopoulos KA. Penile erection during transurethral surgery. J Androl. 2006;27:376–80. - PubMed
    1. Pertek JP, Coissard A, Artis M. Management of intraoperative erection by penile block. Ann Fr Anesth Reanim. 1995;14:352–5. - PubMed
    1. Garg J, Kian HV, Reddy CS. Intraoperative priapism during neuraxial anaesthesia resulting in trouble to the urologist: A case report. J Anaesth Criti Care Case Rep. 2018;4:30–2.

Publication types