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J Med Toxicol. 2009 December; 5(4): 223–225.
PMCID: PMC3550410

Refractory priapism associated with ingestion of yohimbe extract


Extracts of the bark of the central African treePausinystalia yohimbe contain yohimbine, an indole alkaloid, which is used to treat erectile dysfunction. The reported side effects of over-the-counter preparations of yohimbine include gastrointestinal upset, anxiety, increased blood pressure, headache, agitation, rash, tachycardia, and frequent urination. In this report, we describe a severe case of intractable priapism associated with the ingestion of yohimbe extract. Management required insertion of a proximal cavernosal spongiosum shunt (Quackles shunt) in the operating room.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
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