The actual incidence of papaverine-induced priapism in patients with erectile dysfunction following penile colour Doppler ultrasonography
Andrologia, cilt.42, sa.1, ss.1-4, 2010 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 42 Sayı: 1
- Basım Tarihi: 2010
- Doi Numarası: 10.1111/j.1439-0272.2009.00940.x
- Dergi Adı: Andrologia
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.1-4
- Anahtar Kelimeler: Erectile dysfunction, papaverine, penile color doppler sonography, Priapism
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Penile color Doppler sonography is a valuable method for evaluating erectile dysfunction. However, there are some concerns about the safety of this method due to the intracorporeal pharmacological injection, which may cause priapism as a complication, resulting in penile fibrosis. To evaluate the actual incidence of papaverine-induced priapism in patients with erectile dysfunction (ED) who underwent penile colour Doppler sonography and to determine the safety of this diagnostic tool, a retrospective study was conducted using the database of our institution. A total of 672 men with ED underwent penile color Doppler ultrasonography with the intracorporeal injection of 60 mg papaverine hydrochloride. The patient characteristics of priapism cases were retrospectively evaluatedriapism in 18 of the 672 patients (2.68%) was successfully treated with blood aspiration, irrigation and injection of an α-agonist medication, when neededatients with priapism were younger compared with those without priapism; mean age 45 ± 12.51 (20-68) versus 50.93 ± 12.04 (17-78) (P < 0.001)enile Doppler ultrasound is a safe procedure in evaluating erectile dysfunction. The incidence of priapism, which is the most important complication of this procedure, is low and can be managed successfully with conservative approaches. © 2009 Blackwell Publishing Ltd.