Tuesday, June 16, 2009

Morning Salute

A 56 yo male arrived to the ED walking with a bent over, shuffling gait. I asked the nurse "What's that guy here with?" The charge nurse said that he has had an erection for over 24 hours! I was a little puzzled because most sustained erections, or priapism, are associated with Sickle Cell Disease in African Americans... and this guy was a white male- kind of odd.

I knew this would be interesting so I went right into the room.

"Sir, I am Doc Sensitive. How can I help you today?"

This poor guy said, "Two women talked me into injecting 2cc's of this drug called TriMix into my penis last night to get an erection, and it hasn't gone away!"

I continued my history... "Sir was this your prescription? Do you have problems with erections?"

The man, a little embarrased said, "No, it wasn't my prescription. I just did it for sexual enhancement. I wanted to get really hard and last a long time like a porn star."

At that point, I almost started laughing but maintained my composure. I told him that I would have to call the urologist after a quick look down under. The gentlemen took down his underwear. Let's just say that stuff worked rather well because it would give John Holmes a run for his money. There was at full salute pointing right at me. It was obviously very painful because he was grimacing. I left the room and called the urologist.

According to the urologist, TriMix contains three drugs that work in concert to engorge the penis. It can potentially cause permanent damage if someone's erection lasts longer than 4 hours. The urologist came in and stuck a large needle into the engorged monster and drained it.
He said there was a chance that the patient would never have another erection again b/c there could be permanent ischemia- no more morning salutes!

-Doc Sensitive


l33t MD* said...

Whoa, what? He drained it? From the corpora? That's awesome, I had no idea you could do that! :-o

Bubba said...

You need a 16 guage needle or larger, if you can get them, to do that then irrigate.

Pretty sad.. The things we do for a moments pleasure..but at least he knows he can count on trimix or better yet an implant because Jr. is now on disability.

tracy said...

Oooooow, OUCH, a 16 guage...? i hope some ladocaine was involved!

LivingDeadNurse said...

ouch! i don't think i could ever get desperate enough to inject anything into myself. ouch ouch

The Bus Driver said...

i had no idea you could drain a penis.

Anonymous said...

How painful! Not just the Really Big Needle in a Very Sensitive Part but also the prospect of never having an erection again. Poor dear!


RehabNurse said...

Doc and folks:

People who can't get it up may inject prostaglandins such as alprostadil in Caverject Muse in order to get an erection. More info here:http://www.drugs.com/pdr/muse.html

Viagra, etc., doesn't work for everyone.

Believe it or not, many spinal cord patients use it. (Big deal for some guys more than others!)

He should have seen the uro first before he consulted the ladies! He'll be back, but the soldier will need lots of help to salute again (if it can even happen).