Intravenous dexmedetomidine for treatment of intraoperative penile erection


GÜLER G., Sofikerim M., UĞUR F., AKSU R., BOYACI A.

INTERNATIONAL UROLOGY AND NEPHROLOGY, vol.44, no.2, pp.353-357, 2012 (SCI-Expanded, Scopus)

  • Publication Type: Article / Article
  • Volume: 44 Issue: 2
  • Publication Date: 2012
  • Doi Number: 10.1007/s11255-011-0023-x
  • Journal Name: INTERNATIONAL UROLOGY AND NEPHROLOGY
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.353-357
  • Keywords: Priapism, Alpha-adrenergic agonists, Detumescence, Urologic surgery
  • Erciyes University Affiliated: Yes

Abstract

Background Intraoperative penile erections following the initiation of either regional or general anaesthesia is rare; however, when it occurs in patients undergoing urologic procedures it may delay, or even cancel the planned surgery. The aetiology is unclear. Various treatments proposed for producing detumescence are not always effective. Use of intracavernous alpha-adrenergic agonists is an efficient and rapid but short-lasting treatment. Furthermore, repeated intracavernous injections of vasoactive drugs may be harmful. Dexmedetomidine is a potent, selective alpha(2)-adrenoreceptor agonist. In our study, we evaluated the effect of dexmedetomidine on intraoperative penile erection.