Anesthetic Management of the Patient with Persistent Penile Erection Developed after Spinal Anesthesia: A case report.
10.4097/kjae.2004.47.3.446
- Author:
Jy Eun GO
1
;
Ju Tae SOHN
;
Hee Jin KIM
;
Il Woo SHIN
;
Heon Keun LEE
;
Young Kyun CHUNG
Author Information
1. Department of Anesthesia and Pain Medicine, College of Medicine, Korea. jtsohn@nongae.gsnu.ac.kr
- Publication Type:Case Report
- Keywords:
glycopyrrolate;
penile erection;
spinal anesthesia
- MeSH:
Anesthesia, Spinal*;
Cystoscopes;
Glycopyrrolate;
Humans;
Male;
Middle Aged;
Penile Erection*;
Urinary Bladder;
Urinary Bladder Neoplasms
- From:Korean Journal of Anesthesiology
2004;47(3):446-448
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 50-year-old man with bladder cancer had spinal anesthesia for transurethral resection of bladder. After he had spinal block at the T8 level, he developed a persistent penile erection, making it impossible to introduce the 24 French cystoscope. To treat a persistent penile erection, intravenous glycopyrrolate was incrementally given for a total of 0.4 mg. A persistent penile erection was markedly subsided 5 minutes after last 0.2 mg glycopyrrolate was given. Then corpus cavernosum blood was aspirated. The cystoscope was easily introduced, and transurethral resection of bladder proceeded without further complication.
