Sapheno-Cavernous Shunt: A Vascular Approach In The Treatment Of Ischemic Priapism

Authors

  • Carlos Veiga Department of Angiology and Vascular Surgery, Centro Hospitalar Universitário do Porto, Portugal https://orcid.org/0000-0001-8721-0702
  • Diogo Nunes-Carneiro Department of Urology, Centro Hospitalar Universitário do Porto, Portugal
  • Miguel Silva-Ramos Department of Urology, Centro Hospitalar Universitário do Porto, Portugal
  • Pedro Sá Pinto Department of Angiology and Vascular Surgery, Centro Hospitalar Universitário do Porto, Portugal
  • Rui Almeida Department of Angiology and Vascular Surgery, Centro Hospitalar Universitário do Porto, Portugal

DOI:

https://doi.org/10.48729/pjctvs.338

Abstract

Priapism is an urologic emergency defined as an erection that persists for more than 4 hours and is unrelated or lasts beyond sexual stimulation. Ischemic priapism, caused by prolonged venous occlusion within the corporal bodies, works as a compartment syndrome that requires prompt resolution in order to preserve erectile function.

We present two cases of ischemic priapism refractory to conventional treatment that were treated with the help of vascular surgeons. In both cases a sapheno-cavernous shunt was effective in achieving detumescence and erectile function recovery. Despite rarely described in literature, this can be a safe and effective technique in the treatment of ischemic priapism.

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References

Montague DK, Jarow J, Broderick GA, Dmochowski RR, Heaton JPW, Lue TF, et al. American Urological Association Guideline On The Management of Priapism. J Urol 2003;170(4):1318–24.

Eland IA, Van der Lei J, Stricker BHC, Sturkenboom MJCM. Incidence of priapism in the general population. Urology 2001;57(5):970–2.

Broderick GA, Kadioglu A, Bivalacqua TJ, Ghanem H, Nehra A, Shamloul R. Priapism: Pathogenesis, epidemiology, and management. J Sex Med 2010;7(1 PART 2):476–500.

Tabibi A, Abdi H, Mahmoudnejad N. Erectile function and dysfunction following low flow priapism: A comparison of distal and proximal shunts. Urol J 2010;7(3):174–7.

Bennett N, Mulhall J. Sickle cell disease status and outcomes of African-American men presenting with priapism. J Sex Med 2008;5(5):1244–50.

Grayhack JT, Mccullough W, O’Conor VJ, Trippel O. Venous bypass to control priapism. Invest Urol 1964;1:509–13.

Moncada J. Potenzstorungen nach corpus cavernosum-vena shapena anastomose beim priapismus (operation nach Grayhack). Urol-Ausgabe A 1979;18(4):199–202.

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Published

14-01-2023

How to Cite

1.
Veiga C, Nunes-Carneiro D, Silva-Ramos M, Sá Pinto P, Almeida R. Sapheno-Cavernous Shunt: A Vascular Approach In The Treatment Of Ischemic Priapism. Rev Port Cir Cardiotorac Vasc [Internet]. 2023 Jan. 14 [cited 2024 Apr. 18];29(4):61-3. Available from: https://pjctvs.com/index.php/journal/article/view/338

Issue

Vol. 29 No. 4 (2022): Oct - Dec

Section

Clinical Cases

License

Copyright (c) 2023 Portuguese Journal of Cardiac Thoracic and Vascular Surgery

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

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