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Published-Ahead-of-Print February 9, 2006, DOI:10.2164/jandrol.05158

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Penile Erection Occurring During Transurethral Surgery

DIMITRIOS M. BALTOGIANNIS , ALEXANDER K. CHARALABOPOULOS , XENOPHON K GIANNAKOPOULOS , DIMITRIOS J. GIANNAKIS , NIKOLAOS V. SOFIKITIS , and KONSTANTINOS A. CHARALABOPOULOS

Objectives: Intraoperative penile erection during endoscopic surgery, although an infrequent occurrence, is a troublesome complication and a challenge to the urologist. It is difficult to perform the procedure during penile erection; attempting it various complications may occur. So far the etiology is unclear and a number of pharmacological remedies have been discussed in the literature. Findings: Herein, we report three such cases, with their treatment and outcome. Intraoperative penile erection is a rare event during transurethral procedures, with a frequency of {approx}0.1% in our Institution. The management and the outcome of these cases are presented. Conclusion: Generally accepted concepts for the prevention or treatment of this phenomenon are not reported in the literature. We recommend intracorporeal injection of 250 µg of phenylephrine. Detumescence occurred rapidly in all patients with a single injection. The mode of administration is simple and complications have not been described. In parallel, a brief review of the literature is provided.






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