[Cognitive and behavioural alterations as adverse reaction to tamsulosin not previously described]. / Alteración cognitiva y conductual como reacción adversa no descrita a tamsulosina.

OBJECTIVES: To report one case of adverse reaction to tamsulosin. METHODS: We describe the case of an 80-year-old patient who was started on alpha blocker treatment after acute urinary retention with the aim to perform a voiding test. RESULTS: The patient presented self-limited episodes of disorientation in time and space and abnormal behaviour in coincidence with the first three administrations of the drug. Treatment was stopped. CONCLUSIONS: We report one case of an adverse reaction to tamsulosin not previously described. We make a reference to the drug vigilance mechanisms. We point out the importance of coordination between health-care levels.

Alteración cognitiva y conductual como reacción adversa no descrita a tamsulosina / Cognitive and behavioural alterations as adverse reaction to tamsulosin not previously described

OBJETIVO: Presentación de un caso de reacciónadversa a la tamsulosina.METODO: Describimos el caso de un paciente varón de 80años al que se instauró tratamiento alfabloqueante tras retenciónaguda de orina, de cara a realizar un posterior intentode retirada de catéter vesical.RESULTADOS: El paciente presentó - coincidiendo con las tresúnicas administraciones del fármaco -, episodios autolimitadosde desorientación témporoespacial y alteración conductual.El tratamiento fue suspendido.CONCLUSIONES: Aportamos un caso de efecto adverso atamsulosina no descrito. Hacemos referencia a los mecanismosde fármacovigilancia. Señalamos la importancia de lacoordinación entre niveles asistenciales

OBJECTIVES: To report one case ofadverse reaction to tamsulosin.METHODS: We describe the case of an 80-year-oldpatient who was started on alpha blocker treatmentafter acute urinary retention with the aim to perform avoiding test .RESULTS: The patient presented self-limited episodes ofdisorientation in time and space and abnormal behaviourin coincidence with the first three administrations of thedrug. Treatment was stopped.RESULTS: We report one case of an adverse reaction totamsulosin not previously described. We make a referenceto the drug vigilance mechanisms. We point out theimportance of coordination between health-care levels

[Metachronous recurrence of idiopathic high flow priapism]. / Recurrencia metacrónica de priapismo idiopático de alto flujo.

OBJECTIVES: To report one case of metachronous recurrence of idiopathic high flow priapism. METHODS. We describe the case of a 28-year-old male patient who presents with penile partial tumescence which started 10 hours before and history of a similar episode seven years before. Physical examination confirmed the clinical picture, with mild local discomfort on palpation. Blood tests were normal. Cavernous blood gases were compatible with arterial blood O2 saturation levels. The patient had a satisfactory progressive response to oral administration of diazepam. No pathologic findings were seen at the time of arteriography. RESULTS: Complete resolution of the episode. Erectile function was satisfactorily preserved. There was no relapse after one year of follow-up. CONCLUSIONS: We remark the validity of a deferred therapeutic attitude in front of pictures of high flow priapism, as well as the possibility of resolution with conservative measures. We emphasize the peculiarities of this case, mainly its idiopathic character and the metachronous recurrence.

Recurrencia metacrónica de priapismo idiopático de alto flujo / Metacrhnous recurrence of idiopathic high flow priapism

OBJETIVO: Presentación de un caso de recidiva metacrónica de priapismo de alto flujo de carácter idiopático. METODO: Describimos el caso de un paciente varón de 20 años que refiere tumescencia peneana parcial de aproximadamente 10 horas de evolución, y antecedentes de episodio similar siete años antes. La exploración física corroboró dichas manifestaciones, con discretas molestias locales a la palpación. Analítica sanguínea normal. Gasometría cavernosa compatible con niveles de saturación de O2 en sangre arterial. Respuesta progresivamente satisfactoria a la administración de diazepam oral. No hallazgos patológicos significativos en el momento de realización de arteriografía. RESULTADOS: Resolución completa del episodio. Preservación de función eréctil satisfactoria. No recidiva tras un año de seguimiento del paciente. CONCLUSIONES: Señalamos la validez de una actitud terapéutica diferida ante cuadros de priapismo de alto flujo, así como la posibilidad de resolución con medidas conservadoras. Destacamos las peculiaridades de este caso, especialmente su carácter idiopático y la recurrencia metacrónica (AU)