Breakage of Needle during Intracavernosal Injection and Use of Portable Ultrasound Guidance for Removal
Purpose. Intracavernosal self-injection (ICI) was first described in 1982, and remains a viable therapy for erectile dysfunction. However, intracorporal needle breakage can be a rare complication of therapy. We report a rare complication of intracorporal needle breakage and a retention of a 30-gauge...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Urology |
| Online Access: | http://dx.doi.org/10.1155/2013/215492 |
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| author | Wayland Hsiao Fei Lian Brooks Goodgame Chad W. M. Ritenour Jordan Angell Viraj A. Master |
| author_facet | Wayland Hsiao Fei Lian Brooks Goodgame Chad W. M. Ritenour Jordan Angell Viraj A. Master |
| author_sort | Wayland Hsiao |
| collection | DOAJ |
| description | Purpose. Intracavernosal self-injection (ICI) was first described in 1982, and remains a viable therapy for erectile dysfunction. However, intracorporal needle breakage can be a rare complication of therapy. We report a rare complication of intracorporal needle breakage and a retention of a 30-gauge needle in a 42-year-old paraplegic man. We discuss our experience in using portable high-frequency ultrasound intraoperatively to visualize and guide removal of a retained ICI needle. Materials and Methods. Review of case and ultrasound technique are presented. Results. Using intraoperative ultrasound imaging, the retained intracorporal needle was successfully removed from the patient's penis without any complications. Follow-up ultrasonography and X-ray confirmed complete removal of the needle. Conclusions. We report on the successful implementation and use of a portable high-frequency ultrasound probe to visualize a retained intracorporal needle inside the penis and its use to guide removal. Given the rapid proliferation of portable ultrasound machines in the operating room and out in the field, we expect these imaging techniques to become routine, especially in urological emergencies. |
| format | Article |
| id | doaj-art-7c59355bec9e485f9744d4b68a8747d0 |
| institution | Kabale University |
| issn | 2090-696X 2090-6978 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Urology |
| spelling | doaj-art-7c59355bec9e485f9744d4b68a8747d02025-02-03T01:12:33ZengWileyCase Reports in Urology2090-696X2090-69782013-01-01201310.1155/2013/215492215492Breakage of Needle during Intracavernosal Injection and Use of Portable Ultrasound Guidance for RemovalWayland Hsiao0Fei Lian1Brooks Goodgame2Chad W. M. Ritenour3Jordan Angell4Viraj A. Master5Department of Urology, Emory University School of Medicine, Atlanta, GA 30322, USADepartment of Urology, Emory University School of Medicine, Atlanta, GA 30322, USADepartment of Urology, Emory University School of Medicine, Atlanta, GA 30322, USADepartment of Urology, Emory University School of Medicine, Atlanta, GA 30322, USADepartment of Urology, Emory University School of Medicine, Atlanta, GA 30322, USADepartment of Urology, Emory University School of Medicine, Atlanta, GA 30322, USAPurpose. Intracavernosal self-injection (ICI) was first described in 1982, and remains a viable therapy for erectile dysfunction. However, intracorporal needle breakage can be a rare complication of therapy. We report a rare complication of intracorporal needle breakage and a retention of a 30-gauge needle in a 42-year-old paraplegic man. We discuss our experience in using portable high-frequency ultrasound intraoperatively to visualize and guide removal of a retained ICI needle. Materials and Methods. Review of case and ultrasound technique are presented. Results. Using intraoperative ultrasound imaging, the retained intracorporal needle was successfully removed from the patient's penis without any complications. Follow-up ultrasonography and X-ray confirmed complete removal of the needle. Conclusions. We report on the successful implementation and use of a portable high-frequency ultrasound probe to visualize a retained intracorporal needle inside the penis and its use to guide removal. Given the rapid proliferation of portable ultrasound machines in the operating room and out in the field, we expect these imaging techniques to become routine, especially in urological emergencies.http://dx.doi.org/10.1155/2013/215492 |
| spellingShingle | Wayland Hsiao Fei Lian Brooks Goodgame Chad W. M. Ritenour Jordan Angell Viraj A. Master Breakage of Needle during Intracavernosal Injection and Use of Portable Ultrasound Guidance for Removal Case Reports in Urology |
| title | Breakage of Needle during Intracavernosal Injection and Use of Portable Ultrasound Guidance for Removal |
| title_full | Breakage of Needle during Intracavernosal Injection and Use of Portable Ultrasound Guidance for Removal |
| title_fullStr | Breakage of Needle during Intracavernosal Injection and Use of Portable Ultrasound Guidance for Removal |
| title_full_unstemmed | Breakage of Needle during Intracavernosal Injection and Use of Portable Ultrasound Guidance for Removal |
| title_short | Breakage of Needle during Intracavernosal Injection and Use of Portable Ultrasound Guidance for Removal |
| title_sort | breakage of needle during intracavernosal injection and use of portable ultrasound guidance for removal |
| url | http://dx.doi.org/10.1155/2013/215492 |
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