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A minimally invasive temporary cavernoso-saphenous shunt in the management of priapism after failed conservative treatment

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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 and Allied Technologies, Vol. 21, No. 5, 09.2012, p. 366-368.

Research output: Contribution to journalArticle

Harvard

Mains, E, Aboumarzouk, O, Ahmad, S, El-Mokadem, I & Nabi, G 2012, 'A minimally invasive temporary cavernoso-saphenous shunt in the management of priapism after failed conservative treatment' Minimally Invasive Therapy and Allied Technologies, vol 21, no. 5, pp. 366-368., 10.3109/13645706.2011.636821

APA

Mains, E., Aboumarzouk, O., Ahmad, S., El-Mokadem, I., & Nabi, G. (2012). A minimally invasive temporary cavernoso-saphenous shunt in the management of priapism after failed conservative treatment. Minimally Invasive Therapy and Allied Technologies, 21(5), 366-368. 10.3109/13645706.2011.636821

Vancouver

Mains E, Aboumarzouk O, Ahmad S, El-Mokadem I, Nabi G. A minimally invasive temporary cavernoso-saphenous shunt in the management of priapism after failed conservative treatment. Minimally Invasive Therapy and Allied Technologies. 2012 Sep;21(5):366-368. Available from: 10.3109/13645706.2011.636821

Author

Mains, Edward; Aboumarzouk, Omar; Ahmad, Sarfraz; El-Mokadem, Ismail; Nabi, Ghulam / A minimally invasive temporary cavernoso-saphenous shunt in the management of priapism after failed conservative treatment.

In: Minimally Invasive Therapy and Allied Technologies, Vol. 21, No. 5, 09.2012, p. 366-368.

Research output: Contribution to journalArticle

Bibtex - Download

@article{1f7d4e03c65a441facae53b5665bc038,
title = "A minimally invasive temporary cavernoso-saphenous shunt in the management of priapism after failed conservative treatment",
author = "Edward Mains and Omar Aboumarzouk and Sarfraz Ahmad and Ismail El-Mokadem and Ghulam Nabi",
year = "2012",
doi = "10.3109/13645706.2011.636821",
volume = "21",
number = "5",
pages = "366--368",
journal = "Minimally Invasive Therapy and Allied Technologies",
issn = "1364-5706",

}

RIS (suitable for import to EndNote) - Download

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 and Allied Technologies

JF - Minimally Invasive Therapy and Allied Technologies

SN - 1364-5706

IS - 5

VL - 21

SP - 366

EP - 368

ER -

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