Methylene blue as a means of treatment for priapism caused by intracavernous injection to combat erectile dysfunction.

Abstract:

OBJECTIVE:The authors observed priapism as a side effect occuring during the intracavernous treatment of erectile dysfunction. Earlier priapism had been treated with an intracavernous injection of sympatomimetics; unfortunately several complications and contraindications were found. PATIENTS AND METHODS:Methylene blue was applied in the treatment of five patients. First a corpus cavernosum punction was performed and some blood was aspirated from the penis. Finally 100 mg of Methylthionin Chlorati was injected into the corpus cavernosum. RESULTS:A sufficient detumescence was observed in all of these cases. There were no complications. The method was applied effectively in two cases after an unsuccessful punction. CONCLUSION:The autors recommend intravenous methylene blue for the treatment of priapism. According to their experience this method is free of complications and as effective as a sympathomimetics treatment. As they think, it can be recommended in any manifestations of priapism because its force of action appears to be both chemically and biologically clear.

journal_name

Int Urol Nephrol

authors

Hübler J,Szántó A,Könyves K

doi

10.1023/b:urol.0000025617.97048.ae

keywords:

subject

Has Abstract

pub_date

2003-01-01 00:00:00

pages

519-21

issue

4

eissn

0301-1623

issn

1573-2584

journal_volume

35

pub_type

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