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Related Experiment Video

Updated: Mar 1, 2026

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Postoperative drug-induced priapism.

Bartholomeus J G A Corten1,2, Frits Aarts2, Ansgar S Harms3

  • 1Department of Surgery, Tweesteden Ziekenhuis, Tilburg, The Netherlands.

BMJ Case Reports
|June 2, 2017
PubMed
Summary

A postoperative patient developed low-flow priapism after anesthesia, leading to permanent erectile dysfunction despite emergency interventions. This case highlights the critical need for prompt diagnosis and treatment of priapism to prevent long-term complications.

Keywords:
anaesthesiacolon cancerdrug interactionsdrug therapy related to surgeryurology

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Area of Science:

  • Urology
  • Anesthesiology
  • Emergency Medicine

Background:

  • Postoperative priapism is a rare but serious complication.
  • Anesthesia, particularly propofol or epidural, may be implicated in its etiology.
  • Prompt diagnosis and management are crucial to prevent ischemic injury.

Observation:

  • A case of low-flow priapism occurred in a postoperative patient.
  • The condition was potentially linked to propofol-based or epidural anesthesia.
  • Delayed diagnosis necessitated emergency interventions.

Findings:

  • Emergency interventions provided only partial relief.
  • The patient developed permanent erectile dysfunction due to delayed treatment.
  • Medication managed the erectile dysfunction, obviating the need for a penile prosthesis.

Implications:

  • This case underscores the importance of recognizing and rapidly treating priapism in the postoperative setting.
  • Anesthesiologists and urologists must be vigilant for this complication.
  • Timely intervention is key to preserving erectile function and patient quality of life.