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Priapism caused by ‘All Nite Long’

International Journal of Impotence Research volume 17, pages 469–470 (2005)Cite this article

A 47-y-old African American male presented to the emergency department with a chief complaint of having a painful erection for 48 h. He had no previous history of priapism. The patient had been treated with a 5-phosphodiesterase inhibitor without complications in the past. For financial reasons the patient discontinued his prescribed medication and substituted ‘All Nite Long’, a non-prescription remedy for erectile dysfunction. Two tablets were taken on the evening of intercourse. The patient awakened a few hours later with a painful erection that presented for the next 48 h. The patient was taking no other medications. On examination the glans and corpus spongiosum were flaccid, with the corpora cavernosa being firm and tender. A complete blood cell and reticulocyte count was normal, urine toxicology screen was negative, and hemoglobin electrophoresis was normal.

Aspirated blood from the corpora was dark and the partial pressure of oxygen was consistent with low-flow priapism. The erection did not subside with corporal irrigation with normal saline or with multiple injections of phenylephrine. A cavernoglanular shunt was then attempted with a large biopsy needle (Winter shunt) and subsequently with a scalpel (Ebbehoj shunt), without success. Detumescence was obtained via a proximal (Quackels) shunt.

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Authors and Affiliations

  1. Department of Urology, Medical College of Ohio, Toledo, Ohio, USA

    R Miocinovic, S Zafar, J Sferra & M Wainstein

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  1. R Miocinovic
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  2. S Zafar
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  3. J Sferra
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  4. M Wainstein
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Correspondence to R Miocinovic.

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Miocinovic, R., Zafar, S., Sferra, J. et al. Priapism caused by ‘All Nite Long’. Int J Impot Res 17, 469–470 (2005). https://doi.org/10.1038/sj.ijir.3901348

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  • DOI: https://doi.org/10.1038/sj.ijir.3901348

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