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Organo Oficial de la Sociedad Mexicana de Urología

2011, Number 3

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Rev Mex Urol 2011; 71 (3)

Refractory low flow priapism: treatment with corporo-saphenous vein shunt

Nerubay-Toiber R, Jungfermann-Guzmán R, Lira-Dale A, Rosas-Nava JE

Language: Spanish
References: 14
Page: 168-171
PDF size: 361.53 Kb.


ABSTRACT

Priapism is defined as the pathologic entity characterized by prolonged penile erection that is not related to sexual stimulation. It is classified as ischemic priapism (veinocclusive, low flow), which is the most frequent, as arterial priapism (non-ischemic, high flow), and as recurrent priapism. Once ischemic priapism is diagnosed, treatment should be started to re-establish cavernous arterial blood flow. There are several therapeutic modalities, including surgical procedures that are indicated in cases in which penile detumescence has not been achieved despite medical treatment. The case of a patient with refractory low flow priapism that merited treatment with corporo-saphenous vein shunt is presented here.


REFERENCES

  1. Broderick GA, Kadioglu A, Bivalacqua TJ, et al. Priapism: pathogenesis, epidemiology, and management. J Sex Med 2010;7:476-500.

  2. Rodriguez-Villalba R, García S, Puigvert-Martínez A, et al. Priapismo. Actas Urol Esp 2005;29:961-8.

  3. Pryor J, Akkus E, Alter G, et al. Priapism. J Sex Med 2004;1:116-20.

  4. Sadeghi-Nejad H, Dogra V, Seftel AD, Mohamed MA. Priapism. Radiol Clin North Am 2004;42:427-43.

  5. Burnett A, Bivalaqua TJ. Priapism: current principles and practice. Urol Clin North Am 2007;34:631-42.

  6. Myers A, Barrueto F Jr. Refractory priapism associated with ingestion of yohimbe extract. J Med Toxicol 2009;5:223-5.

  7. Cherian J, Rao A, Thwaini A. Medical and surgical management of priapism. Postgrad Med J 2006;82:89-94.

  8. Altman AL, Seftel AD, Brown SL, et al. Cocaine associated priapism. J Urol 1999;161:1817-8.

  9. Wan J, Rew K. Common penile problems. Prim Care 2010;37:627-42.

  10. Munner A, Minhas S, Freeman A, et al. Investigating the effects of high-dose phenylephrine in the management of prolonged ischaemic priapism. J Sex Med 2008;5:2152-9.

  11. Medina Coello J, Medina Machuca J, Gutiérrez F, et al. Experiencia en el tratamiento del priapismo de bajo flujo (isquémico) con una técnica nueva, rápida, fácil y efectiva durante 6 años. Rev Mex Urol 2006;66:168-76.

  12. Vázquez F, Vicente F, Fernandez A, et al. Priapismo de bajo flujo. Tratamiento mediante Shunt Safeno-Cavernoso. Arch Esp Urol 2007;60:300-3.

  13. Nixon RG, O’Connor JL, Milam DF. Efficacy of shunt surgery for refractory low flow priapism: a report on the incidence of failed detumescence and erectile dysfunction. J Urol 2003;170:883-6.

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




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