A minimally invasive temporary cavernoso-saphenous shunt in the management of priapism after failed conservative treatment. / Mains, Edward; Aboumarzouk, Omar; Ahmad, Sarfraz; El-Mokadem, Ismail; Nabi, Ghulam.
In: Minimally Invasive Therapy & Allied Technologies, Vol. 21, No. 5, 09.2012, p. 366-368.Research output: Contribution to journal › Article
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TY - JOUR
T1 - A minimally invasive temporary cavernoso-saphenous shunt in the management of priapism after failed conservative treatment
A1 - Mains,Edward
A1 - Aboumarzouk,Omar
A1 - Ahmad,Sarfraz
A1 - El-Mokadem,Ismail
A1 - Nabi,Ghulam
AU - Mains,Edward
AU - Aboumarzouk,Omar
AU - Ahmad,Sarfraz
AU - El-Mokadem,Ismail
AU - Nabi,Ghulam
PY - 2012/9
Y1 - 2012/9
N2 - <p>Priapism is an urological emergency with detrimental consequences, if not managed expeditiously. Though a rare condition with an incidence between 0.3 and 1.5 per 100,000 population, its management options are limited and decision making could be challenging. We present a case of late presenting priapism for which the initial routine clinical care (aspiration, intracavernosal injection, and distal shunt) failed to relieve erection. Subsequently, the patient was successfully treated by a temporary cavernoso-saphenous shunt using carotid shunt and repeated heparin flushes. This novel surgical treatment offers an alternate method of relieving priapism, avoiding the long-term undesired effects associated with permanent proximal shunts such as cavernoso-venous grafts. Moreover, interval flushes (and/or repeated aspirations) with heparin ensures patency of this new shunt during the perioperative period. The patient recovered without any complications and the shunt was removed after one week. He has regained partial erection, however refused to have further treatment. Temporary cavernoso-saphenous shunt using carotid shunt offers an alternate option of management of priapism in patients with failed initial conservative treatment and distal shunts.</p>
AB - <p>Priapism is an urological emergency with detrimental consequences, if not managed expeditiously. Though a rare condition with an incidence between 0.3 and 1.5 per 100,000 population, its management options are limited and decision making could be challenging. We present a case of late presenting priapism for which the initial routine clinical care (aspiration, intracavernosal injection, and distal shunt) failed to relieve erection. Subsequently, the patient was successfully treated by a temporary cavernoso-saphenous shunt using carotid shunt and repeated heparin flushes. This novel surgical treatment offers an alternate method of relieving priapism, avoiding the long-term undesired effects associated with permanent proximal shunts such as cavernoso-venous grafts. Moreover, interval flushes (and/or repeated aspirations) with heparin ensures patency of this new shunt during the perioperative period. The patient recovered without any complications and the shunt was removed after one week. He has regained partial erection, however refused to have further treatment. Temporary cavernoso-saphenous shunt using carotid shunt offers an alternate option of management of priapism in patients with failed initial conservative treatment and distal shunts.</p>
U2 - 10.3109/13645706.2011.636821
DO - 10.3109/13645706.2011.636821
M1 - Article
JO - Minimally Invasive Therapy & Allied Technologies
JF - Minimally Invasive Therapy & Allied Technologies
SN - 1364-5706
IS - 5
VL - 21
SP - 366
EP - 368
ER -