Successful management of stuttering priapism using home self-injections of the alpha-agonist metaraminol.

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McDonald M, Santucci RA

Successful management of stuttering priapism using home self-injections of the alpha-agonist metaraminol.

Int Braz J Urol. 2004 Mar-Apr;30(2):121-2.

PubMed ID
15703094 [ View in PubMed
]
Abstract

Low-flow priapism can result in impotence if treatment is delayed, yet patients with recurrent priapism often suffer delay before therapy. We describe management of recurrent priapism using self-administered injections of intracavernosal metaraminol (Aramine, Merck), a long-acting vasoconstricting amine that is considered safer than epinephrine. The patient injects as often as once daily using 5-10 mg of drug. Our patient reports rapid detumescence and has not required emergency room visits since starting injections. He denies complications. Treatment of priapism using metaraminol has been suggested in the hospital setting; however, this is the first report of successful home self-administration of the drug.

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