Management of intraoperative penile erection with salbutamol aerosol

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Intraoperative penile erection.

OBJECTIVE Penile erection following epidural anesthesia is an infrequent occurrence of unclear etioogy. It is very troublesome to perform the procedure during penile erection and attempting it leads to various complications. Three such cases are reported herein. The literature on the pathophysiology and management of intraoperative penile erection is discussed. METHODS Eighteen hundred patien...

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Intracavernosal metaraminol for treatment of intraoperative penile erection.

Four patients developed penile erection when regional anaesthesia was induced with spinal block. In another patient, penile erection developed during fentanyl-induced general anaesthesia. Injection of metaraminol into corpus cavernosum successfully achieved detumescence in all these patients. The dose of metaraminol ranged from 10 to 25 micrograms, much less than that required for the treatment...

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Penile Erection

Hemodynamic Aspects Penile erection and detumescence are primari ly controlled by hemodynamic events. Increased arterial inflow appears to be of primary importance; the contribution of increased venous resistance to the production of penile erection remains controversial. Furthermore, our understanding of precise anatomic details ( including “shunts”) and the neural control of vascular events i...

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Pharmacology of penile erection.

Erection is basically a spinal reflex that can be initiated by recruitment of penile afferents, but also by visual, olfactory, and imaginary stimuli. The reflex involves both autonomic and somatic efferents and is modulated by supraspinal influences. Several central transmitters involved in the erectile control have been identified. Dopamine, acetylcholine, nitric oxide (NO), and peptides, such...

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Adenosine modulation of neurotransmission in penile erection.

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ژورنال

عنوان ژورنال: Journal of Anaesthesiology Clinical Pharmacology

سال: 2012

ISSN: 0970-9185

DOI: 10.4103/0970-9185.98367