2006, Number 4
Six years treatment experience for low flow (isquemic) priapism, with a new, quick, easy, and effective technique
Medina CJ, Medina MJ, Gutiérrez GF, Manzanilla GH
Full text
Language: Spanish
References: 6
Page: 168-176
PDF size: 407.57 Kb.
ABSTRACT
Objective. To introduce a new, quick, easy, and effective technique for low flow (isquemic) priapism treatment, as well as to point out the outcomes compared to other techniques defined in a six year period.Materials and methods. We have conducted an interinstitutional study from January 2000 trough May 2006, with 15 male patients, from 26 to 78 years old, with 4 hours to 29 days evolution of low flow priapism. Five patients in Ecuador’s Social Security Intitute (IESS), Santa Inés Hospital and the Urologic Clinic, and ten patients in Mexico in the General Hospital, diagnosed for their clinic presentation and blood gases levels of the corpus cavernosum. All cases were treated with a new, quick, easy and effective technique described by Dr. José A. Medina Machuca, who is Urologist graduated in the General Hospital in Mexico.
Results. In 100% cases we obtained resolution (96.6% before 24 hours and 4.4% before 48 hours). Total recovery of erectile function was observed in 75% and 20% of the patients showed fibrosis of corpus cavernous, and in 6.6 % it was necessary to use a vasoactive (papaverine) without finding any direct time relation in de priapism evolution of erectile disfuntion.
Conclusion. It is an easy, quick and effective technique prescribed in any time evolution priapism.
It is doable with local anesthesia, it is less invasive, and it allows us to create a controlled bypass without compromising or damaging the tisue, as well as assess the priapism resolution before the removal of the bypass. It allows us to immediately close the inducted shunt which is different from other techniques. This technique allows low complication indexes, no recurrence and short hospital staying.
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