| Anesthetic Management of the Patient with Persistent Penile Erection Developed after Spinal Anesthesia: A case report. |
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Jy Eun Go, Ju Tae Sohn, Hee Jin Kim, Il Woo Shin, Heon Keun Lee, Young Kyun Chung |
1Department of Anesthesia and Pain Medicine, College of Medicine, Korea. jtsohn@nongae.gsnu.ac.kr
2Institute of Health Sciences, Gyeongsang National University, Jinju, Korea. |
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| Abstract |
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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. |
| Key Words:
glycopyrrolate; penile erection; spinal anesthesia |
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