不適切な海綿体内自己注射にて持続勃起症を来したインポテンス

Erectile Dysfunction after Priapism with an Inad-equate Intracavernous Injection:A Case Report

　インポテンスの自覚はないものの勃起力強化を目的に某クリニックを受診し，塩酸パパベリンを十分な説明もなく購入，入手した。そして，それを適切に使用しなかったために持続勃起症を来し，勃起障害となった1例を報告する。

A 47-year-old male, who had no real erectile dysfunction performed an inadequate intracavernous injection of pa-paverine hydrochloride (40mg) by himself. On August 10, 1997, out of curiority he injected 80mg of papaverine hydrchloride, twice the normal dose, and then he developed priapism with severe penile pain. He visited our clinic on August 13, and evacuation of blood from the cavernous body and intracavernous administration of etilefrine were tried but failed to diminish the penile erection. Finally, we performed a cavernoglandular shunt with a No.11 blade, which resulted in detumescence of the erection.