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Management of intra operative priapism after spinal anesthesia with intravenous glycopyrrolate and intracorporeal injection of ultra low dose of phenylephrine- A case report

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Case Report

Author Details : Tshering P Bhutia*, Neeraj Bhattarai, Tsewang D Bhutia, Rajni , Sonam D Bhutia

Volume : 8, Issue : 2, Year : 2021

Article Page : 349-351

https://doi.org/10.18231/j.ijca.2021.065

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Abstract

Priapism following neuraxial anesthesia or general anesthesia is a rare but problematic event which may result in delay, complication or even cancellation of scheduled operations in urological endoscopic procedures. We present a case of successful management of intra operative priapism in a 32 years old male under spinal anesthesia posted for Ureteroscopic Lithotripsy (URSL) of bilateral ureteric stone. Different therapies for management of intra operative priapism have been quoted in the past like intracorporeal injection of vasopressors, dorsal penile nerve block, intravenous glycopyrrolate, intravenous ketamine/dexmedetomidine etc. In this case we treated with intravenous glycopyrrolate and intracorporeal injection of ultra low dose phenylephrine.

Keywords: Priapism, Spinal anesthesia, Phenylephrine, Glycopyrrolate.

How to cite : Bhutia T P , Bhattarai N , Bhutia T D , Rajni, Bhutia S D , Management of intra operative priapism after spinal anesthesia with intravenous glycopyrrolate and intracorporeal injection of ultra low dose of phenylephrine- A case report. Indian J Clin Anaesth 2021;8(2):349-351

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