Perioperative Priapism Due to Unreported Tadalafil Use

Intraoperative priapism is a rare occurrence.^1,2 Possible precipitating factors include:

• antipsychotic and antidepressant medications;
• epidural analgesia;
• propofol-based anesthesia;
• chronic cocaine use;
• antihypertensive medications (alpha- and beta-receptor antagonists);
• hematologic disease, especially sickle cell