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Target Concepts:
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Query: UMLS:C0152169 (
renal colic
)
811
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
Antidepressant medications are associated with a variety of genitourinary and adverse sexual effects, such as urinary hesitation,
priapism
, and delayed ejaculation. Here, we report a case of
priapism
and
renal colic
following initiation of duloxetine in a patient with history of tolerated selective serotonin reuptake inhibitor treatment. To our knowledge, this represents the first report of
priapism
and
renal colic
associated with duloxetine use. This case contributes to the current body of evidence describing adverse genitourinary and sexual effects associated with antidepressant medications.
...
PMID:Priapism and renal colic in a patient treated with duloxetine. 2995 70
Numerous medications have been associated to the development of
priapism
as an adverse reaction, the most common are intracavernosal vasoactive agents, antipsychotics and antidepressants. Alpha blockers, in particular tamsulosin which is widely used in different urological conditions, has been associated to
priapism
in only few case reports. We present the case of a healthy 45-year-old man who medicated himself with two doses of 0.4 mg of tamsulosin due to a
renal colic
with spontaneous passage of a 3 mm stone. Eight hours after the second tamsulosin dose the patient developed a persistent painful erection not associated to sexual stimulation that lasted for 6 hours. He was admitted to the emergency room, and after history taking and physical evaluation the diagnosis of ischemic
priapism
was made. The patient denied consumption of any other medication or drug during the last month, blood tests in particular hemogram were normal and no recent history of pelvic trauma was reported. To achieve detumescence, five boluses of 200 mcg of phenylephrine were injected directly in the corpora cavernosa, no further procedures were needed. In the follow-up the patient had no new
priapism
episodes and he reported no problems with erections in sexual intercourse. Tamsulosin is one of most indicated medications in urological general practice; though
priapism
has been rarely associated to its consumption the risk of this side effect exists, suggesting that patients should be counselled about it.
...
PMID:Priapism induced by use of tamsulosin: A case report and review of the literature. 3157 6