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Published 3 June 2009
Cite this as: BMJ Case Reports 2009 [doi:10.1136/bcr.03.2009.1658]
Copyright © 2009 by the BMJ Publishing Group Ltd.

Unexpected outcome (positive or negative) including adverse drug reactions

Unstable angina following intracavernous injection of alprostadil: a case study

Nicolas Barry Delongchamps, Guillaume Legrand, Marc Zerbib, Michael Peyromaure

Cochin Hospital, Paris Descartes University, Urology, 27 Rue du Faubourg Saint Jacques, Paris, 75014, France

Correspondence to:
Nicolas Barry Delongchamps, nicolasbdl{at}hotmail.com

SUMMARY

Intracavernous injection of alprostadil is the gold standard treatment for erectile dysfunction following radical prostatectomy. After surgery, low doses of alprostadil can be delivered for the sole purpose of penile rehabilitation. The only reported systemic side effects of such injections are arterial hypotension and headache. In the current report, a case of unstable angina immediately following an intracavernous injection of alprostadil is described.


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