Post Papavarine Priapism

A 28 year old patient came to us with priapism post papavarine induced for penile Doppler test.He presented to us five hours after the test.

On examination there was pain and considerable rigidity.

The patient was taken up for corporal drainage and instilllation of phenylephrine(1 ml PE in 19 ml Normal Saline).The corporal drainage was done with 21 G Vasofix and when dark blood was initially drained.When bright reddish blood started coming out PE was instilled.The final outcome was good, complete flaccidity was achieved.

The patient was kept on alprazolam and ketoconazole for 2 weeks to prevent erection.