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Priapism caused by 'Tribulus terrestris'.

M Campanelli1, R De Thomasis1, R L Tenaglia1

  • 1Universitary Department of Urology, SS. Annunziata Hospital, Chieti, Italy.

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Summary
This summary is machine-generated.

Tribulus terrestris, a popular herbal supplement for sexual dysfunction, can cause prolonged priapism. This condition may lead to negative sexual function outcomes, even after treatment.

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Area of Science:

  • Urology
  • Herbal Medicine
  • Pharmacology

Background:

  • Tribulus terrestris is a widely used herbal supplement for managing sexual dysfunction.
  • Its increasing popularity necessitates an understanding of potential adverse effects.
  • Non-FDA-approved supplements require careful consideration due to unknown risks.

Observation:

  • A 36-year-old man experienced a 72-hour priapism after consuming a Tribulus terrestris supplement.
  • Priapism is a prolonged, often painful erection not related to sexual stimulation.
  • The patient required a cavernoglandular shunt (Ebbehoj shunt) for detumescence.

Findings:

  • The priapism episode resulted in persistent negative outcomes on the patient's sexual function.
  • This case highlights a serious potential side effect of Tribulus terrestris supplementation.
  • The lack of FDA approval for such supplements underscores the importance of patient awareness.

Implications:

  • Healthcare providers should counsel patients on the potential risks associated with herbal supplements like Tribulus terrestris.
  • Further research is needed to elucidate the mechanisms behind Tribulus terrestris-induced priapism.
  • Patients should be informed about the potential for serious adverse events, including sexual dysfunction, from unregulated supplements.