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2025, Number 5

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Acta Med 2025; 23 (5)

Bilateral cavernosal-saphenous shunt in management of persistent prolonged priapism

Cazares PF, Mendoza RRMÁ, Landeros MM, Domínguez GB, López JC, Hernández GF
Full text How to cite this article 10.35366/121189

DOI

DOI: 10.35366/121189
URL: https://dx.doi.org/10.35366/121189

Language: Spanish
References: 4
Page: 473-474
PDF size: 191.43 Kb.


Key words:

priapism, cavernosal-saphenous shunt, low flow, erectile dysfunction.

ABSTRACT

Priapism is a prolonged, painful penile erection persisting in the absence of sexual activity or desire. Most cases are classified as low-flow or ischemic. It is considered a urological emergency when an erection lasts more than four to six hours. We present our experience using the Grayhack procedure, a cavernosal-saphenous shunt after conservative management and first-line surgical procedures fail to resolve a three-day painful penile erection in our patient. The priapism was resolved, and the patient described regular sexual activity and no complications.


REFERENCES

  1. Tripe JW. Case of continued priapism. Lancet. 1845;2:8.

  2. Rodriguez-Villalba R, García S, Puigvert-Martínez A, Pomerol IMJM, Munárriz R. Priapismo. Actas Urol Esp. 2005;29(10):961-968.

  3. Pryor J, Akkus E, Alter G, Jordan G, Lebret T, Levine L, et al. Priapism. J Sex Med. 2004;1(1):116-120.

  4. Afriansyah A, Yuri P, Hutasoit YI. Intracorporeal dilatation plus Al-Ghorab corporoglandular shunt for salvage management of prolonged ischemic priapism. Urol Case Rep. 2017;12:11-13. doi: 10.1016/j.eucr.2017.01.011




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Acta Med. 2025;23