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February 5, 1997

Treatment of Partial Priapism With an Intracavernous Injection of Etilefrine

Author Affiliations

Ludwig Boltzmann Institüt Vienna, Austria

JAMA. 1997;277(5):378. doi:10.1001/jama.1997.03540290030027

To the Editor.  —Partial priapism affects the proximal penis and is rare. Only 7 such cases have been reported,1 and all have been treated surgically. Etilefrine, a sympathomimetic drug available in much of Europe but not the United States, has been used as an intracavernous injection in the treatment of classic priapism.2,3 This is the first report of successful treatment of partial priapism by an intracavernous injection of the vasoactive drug etilefrine.

Report of a Case.  —A 29-year-old man presented with a perineal mass causing discomfort. The symptoms began 4 days prior to admission and were associated with impotence. No trauma or other unusual event was reported. He gave no history of similar episodes and denied taking drugs known to cause priapism.2Physical examination revealed a painless perineal mass of elastic consistency involving the penoscrotal junction and extending along the right proximal corpus cavernosum. The distal penis