A 36-year-old Caucasian man was diagnosed with a 72-h-lasting priapism that occurred after the assumption of a Herbal supplement based on Tribulus terrestris, which is becoming increasingly popular for the treatment of sexual dysfunction. The patient underwent a cavernoglandular shunt (Ebbehoj shunt) in order to obtain complete detumescence, from which derived negative post-episode outcomes on sexual function. All patients consuming non-FDA-approved alternative supplements such as Tribulus terrestris should be warned about the possible serious side effects.
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Chhatre S, Nesari T, Somani G, Kanchan D, Sathaye S . Phytopharmacological overview of Tribulus terrestris. Pharmacogn Rev 2014; 8: 45–51.
Miocinovic R, Zafar S, Sferra J, Wainstein M . Priapism caused by 'All Nite Long'. Int J Impot Res 2005; 17: 469–470.
Do J, Choi S, Choi J, Hyun JS . Effects and mechanism of action of a Tribulus terrestris extract on penile erection. Korean J Urol 2013; 54: 183–188.
Singh S, Nair V, Gupta YK . Evaluation of the aphrodisiac activity of Tribulus terrestris Linn. in sexually sluggish male albino rats. J Pharmacol Pharmacother 2012; 3: 43–47.
The authors declare no conflict of interest.
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Campanelli, M., De Thomasis, R. & Tenaglia, R. Priapism caused by ‘Tribulus terrestris’. Int J Impot Res 28, 39–40 (2016). https://doi.org/10.1038/ijir.2015.30
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