Priapism Aspiration Note:
The patient was counseled on the risks, benefits, and alternatives to the procedure, and provided [written/verbal] consent. A timeout procedure was performed prior to initiating the procedure.
The penis was prepped and draped in the usual sterile manner. A penile block was performed by injecting [##] mL of lidocaine [at the 2 and 10 o'clock positions at the dorsal aspect of the base of the penis/in a complete ring around the base of the penis]. An [18/##] gauge needle was inserted into the penile shaft at the 2 and 10 o'clock positions to aspirate [20-30 mL of blood from the right/left side/each side]. Patient noted to have [some/mild/moderate/significant] improvement in priapism after aspiration.
A diluted solution of Phenylephrine was injected into the base of the penis after confirming needle was in the corpus cavernosum by aspirating blood. The patient was given [100/200] mcg of Phenylephrine every 3-5 minutes to a total of [###] mcg (max 1000 mcg) with [significant improvement in/resolution of] priapism.
The patient tolerated the procedure well without complications.
A diluted solution of Phenylephrine was injected into the base of the penis after confirming needle was in the corpus cavernosum by aspirating blood. The patient was given [100/200] mcg of Phenylephrine every 3-5 minutes to a total of [###] mcg (max 1000 mcg) with [significant improvement in/resolution of] priapism.
The patient tolerated the procedure well without complications.
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