Skip to main content

Thank you for visiting You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

Priapism caused by ‘Tribulus terrestris


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.

This is a preview of subscription content

Access options

Buy article

Get time limited or full article access on ReadCube.


All prices are NET prices.

Figure 1


  1. Chhatre S, Nesari T, Somani G, Kanchan D, Sathaye S . Phytopharmacological overview of Tribulus terrestris. Pharmacogn Rev 2014; 8: 45–51.

    Article  Google Scholar 

  2. Miocinovic R, Zafar S, Sferra J, Wainstein M . Priapism caused by 'All Nite Long'. Int J Impot Res 2005; 17: 469–470.

    CAS  Article  Google Scholar 

  3. 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.

    Article  Google Scholar 

  4. 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.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations


Corresponding author

Correspondence to M Campanelli.

Ethics declarations

Competing interests

The authors declare no conflict of interest.

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Campanelli, M., De Thomasis, R. & Tenaglia, R. Priapism caused by ‘Tribulus terrestris’. Int J Impot Res 28, 39–40 (2016).

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI:

Further reading


Quick links