Öz
To survey the increased frequency of erections in our patients. İntraoperative course of the four patients were evaluated by using anesthesia protocols. We defined that some anesthetic drugs tike fentanyt, remifentanil, propofol and running out of vola-tile anesthetic might be the reasons, İn one of these patients, caudal blockade was performed at the end of the operation that might be the reason. We performed some treatment procedures to cease the erections but complete detumescence had not been achieved. There are different treatment methods but we thought that adequately performed caudal blockade is the best
Anahtar Kelimeler
Kaynakça
- Vaidyanathan S, Watt JWH, Soni BM, Krishnan KR. Intravenous salbutamol treatment for penile erection arising during cystoscopy o f cervical spinal cord injury patients. Spinal Cord 1996;34:691-5.
- Staerman F, Nouri M, Coeurdacıer P, Cipolla B, Guille F,
- Lobel B. Treatment o f the intraoperative penile erection with intracavernous phenylephrine. J Urol 1995;153:1478-81.
- Hosie HE, Todd JG. Persistent erection and general anes thesia. Anaesthesia 1990;45:794.
- Bakan M, Eiiçevik M, Bozkurt P, Kaya G. Penile erection
- during rem ifentanil anesthesia in children. Pediatric Anesthesia 2006;16:1294-5.
- Staerman F, Melman A, Spektor M, Christ GJ. On the puta
- tive mechanistic basis for intraoperative propofol-induced penile erections. Int J impotence Res 1997;9:1-9.
- Baraka A, SibaiAN. Benzodiazepine treatment of penile erec
- tion under general anesthesia. Anesth Analg 1988;67:596-7.
- Brierly RD, Hindley RG, Chaiiacombe BJ, Popert RJ.
- “Urological Cold Shower”-A novel treatment for ıntraopera- tive erection. Urology 2003;61:462vii-462viii.
- Sette AD, Resnick MI, Bosvvell MV. Dorsal nerve block for
- management of intraoperative penile erection. J Urol 1994;151:394-5.
- Gerber F, Schwöbel MG, Jöhr M. Success of treatment of
- intraoperative erection in a 15-month-old child with intracav ernous epinephrine. Pediatric Anesthesia 2001;11:506-7.
- Valley MA, Sang CN. Use o f glycopyrrolate to treat intraop erative penile erection. Reg Anesth 1994;19:423-8.
- Bemelmans BLH, Hendrix LBPM, Koldewijn EL, Lemmens WAJG, Debruyne FMJ, Meuleman EJH. Comparison o f bio- thesiometry and neurourophysiological investigations fort the clinical evaluation o f patients with erectile dysfunction. J Urol 1995;153:1483-6.
- Sergi C, Voigtlander T, Zoubaa S, et al. Ellis-van Creveld syndrome: A generalized dyplasia o f enchondral ossifica- tion. Pediatr Radiol 2001;31:289-93.
Öz
Hastalarımızda artan ereksiyon sıklığının sebebinin anlaşılması için gözden geçirme yapılmıştır. Dört hastanın ameliyat esnasındaki anestezi uygulamaları incelenmiştir. Bazı anestetiklerin, fentanii, remifentanil, propofol etkili olduğu ve volatile anestetik bitmesinin sebep olabileceği tespit edilmiştir. Bu hastaların birinde, kaudai blokaj ameliyat sonrasında uygulanmıştır ve erek-siyona sebep olabileceği düşünülmüştür. Ereksiyonu gidermek için bazı tedavi uygulamaları yapılmıştır; ancak tam düzelme sağlanamamıştır. Birçok farklı tedavi yöntemleri olmasına rağmen penil ereksiyon olmasını engellemek için en iyi yöntemin kaudai blokaj olduğu düşünülmektedir.
Anahtar Kelimeler
Kaynakça
- Vaidyanathan S, Watt JWH, Soni BM, Krishnan KR. Intravenous salbutamol treatment for penile erection arising during cystoscopy o f cervical spinal cord injury patients. Spinal Cord 1996;34:691-5.
- Staerman F, Nouri M, Coeurdacıer P, Cipolla B, Guille F,
- Lobel B. Treatment o f the intraoperative penile erection with intracavernous phenylephrine. J Urol 1995;153:1478-81.
- Hosie HE, Todd JG. Persistent erection and general anes thesia. Anaesthesia 1990;45:794.
- Bakan M, Eiiçevik M, Bozkurt P, Kaya G. Penile erection
- during rem ifentanil anesthesia in children. Pediatric Anesthesia 2006;16:1294-5.
- Staerman F, Melman A, Spektor M, Christ GJ. On the puta
- tive mechanistic basis for intraoperative propofol-induced penile erections. Int J impotence Res 1997;9:1-9.
- Baraka A, SibaiAN. Benzodiazepine treatment of penile erec
- tion under general anesthesia. Anesth Analg 1988;67:596-7.
- Brierly RD, Hindley RG, Chaiiacombe BJ, Popert RJ.
- “Urological Cold Shower”-A novel treatment for ıntraopera- tive erection. Urology 2003;61:462vii-462viii.
- Sette AD, Resnick MI, Bosvvell MV. Dorsal nerve block for
- management of intraoperative penile erection. J Urol 1994;151:394-5.
- Gerber F, Schwöbel MG, Jöhr M. Success of treatment of
- intraoperative erection in a 15-month-old child with intracav ernous epinephrine. Pediatric Anesthesia 2001;11:506-7.
- Valley MA, Sang CN. Use o f glycopyrrolate to treat intraop erative penile erection. Reg Anesth 1994;19:423-8.
- Bemelmans BLH, Hendrix LBPM, Koldewijn EL, Lemmens WAJG, Debruyne FMJ, Meuleman EJH. Comparison o f bio- thesiometry and neurourophysiological investigations fort the clinical evaluation o f patients with erectile dysfunction. J Urol 1995;153:1483-6.
- Sergi C, Voigtlander T, Zoubaa S, et al. Ellis-van Creveld syndrome: A generalized dyplasia o f enchondral ossifica- tion. Pediatr Radiol 2001;31:289-93.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Makaleler |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Nisan 2008 |
| Yayımlandığı Sayı | Yıl 2008 Cilt: 41 Sayı: 1 |