Abstract

VAZQUEZ ALONSO, Fernando et al. Low flow priapism: Treatment by sapheno-cavernous shunt. Arch. Esp. Urol. [online]. 2007, vol.60, n.3, pp.300-303. ISSN 0004-0614.

Objective: We report the clinical case of a 21-year-old male presenting with a 36 hour history of low flow priapism, its diagnosis and treatment. Methods: We performed a bibliography review on the etiology, physiopathology, diagnosis and treatment options. Results: The patient underwent unsuccessful punction-aspiration of intracavernous blood with phenylephrine injection and cavernous irrigation with saline solution. A cavernous-spongiosum shunt was performed subsequently, firstly using the Winter technique and followed by the AlGorab technique with a final positive response. Conclusions: The performance of a sapheno-cavernous shunt is an effective treatment for the low flow priapism resistant to usual medical-surgical treatment.

Keywords : Priapism; Sapheno-cavernous shunt; Erectile dysfunction.

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