TREATMENT OF THE INTRAOPERATIVE PENILE ERECTION WITH INTRACAVERNOUS PHENYLEPHRINE

A total of 23 patients who had an intraoperative penile erection durin g endoscopic or penile surgery underwent intracavernous injection of 2 00 mu g. phenylephrine. Detumescence occurred rapidly in all patients with a single injection. Hemodynamic changes consisted of a transient increase in systolic and diastolic blood pressures (+9%, p <0.05) with out significant change in pulse rate (-5%, p >0.05). No marked side ef fect was reported even in elderly patients. Intraoperative penile erec tion, which seems to be more frequent in patients younger than 50 year s, during general anesthesia with propofol or epidural anesthesia, can be treated safely with intracavernous injection of phenylephrine.