A Case of Acute Coronary Syndrome following Intracavernosal Phenylephrine Injection for Tamsulosin Induced Priapism

We present the fourth reported case of tamsulosin induced priapism in an elderly gentleman with diabetes and hypertension in whom penile blood gas analysis revealed IP. Intracavernous phenylephrine injection relieved IP. Subsequent cardiac monitoring revealed ST segment depression and positive troponins confirming a diagnosis of NSTEMI which was managed by PCI and medical therapy.