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2288 pages added, reviewed or updated during the last month (last updated: 19/4/2021)


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interventional therapy

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If conservative treatment fails then the corpora cavernosa must be drained:

  • a butterfly needle should be inserted laterally into the corpora
  • the urethra (ventrally) and the neurovascular bundle (dorsally) should be avoided
  • blood should be aspirated until detumescence is achieved

If this fails:

  • if the aspirated blood is dark (deoxygenated) then local infusion of phenylephrine may help
  • phenylephrine should not be used if the aspirated blood is bright red as the high flow will cause systemic hypertension
  • if there is no response then Winter's procedure may be required

Last reviewed 01/2018

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