| Temporary cavernosal-cephalic vein shunt in low-flow priapism treatment. | |
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MedLine Citation:
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PMID: 18945541 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Surgical shunting might be considered as the only option in the treatment of extended ischemic priapism that does not respond to aspiration and medication. OBJECTIVE: A modified, simple, minimally invasive, and easily applicable artificial cavernosal-venous shunt technique for treating priapism is described in this report. DESIGN, SETTING, AND PARTICIPANTS: A total of 15 patients with extended and nonresponsive low-flow priapism were treated with this technique between January 1998 and February 2007. INTERVENTION: When the conservative treatment of low-flow priapism does not yield the expected results, then the temporary cavernosal-cephalic vein shunt should be applied. The standard equipment required for this modified technique includes three angiocaths, two shorn blood serum sets, and saline solution with heparin. The blood in the cavernosa and the saline solution infusion are incorporated into the systemic circulation with the aid of serum sets and angiocaths. MEASUREMENTS: Priapism duration, history, causes, its relation with sexual stimulation, pain, and any prior management of priapism were assessed in all patients. A complete blood count and blood gases assessment were conducted in corporal aspirates, and duplex penile ultrasonography was performed, which showed attenuated blood flow in the cavernosal artery. RESULTS AND LIMITATIONS: This technique was applied in 15 patients. Complete detumescence was achieved in 13. In the two cases in whom the technique did not yield the expected results, there was a need for a sapheno-cavernosal shunt. These patients later complained of erectile dysfunction and penile pain that continued for 6 mo. Of the 13 patients in whom detumescence was achieved, 3 reported erectile dysfunction according to International Index of Erectile Function (IIEF) scores at the 12-mo follow-up. CONCLUSIONS: Artificial cavernosal-cephalic vein shunt in the treatment of priapism is simple, safe, effective, easily applicable, and warrants primary consideration when the second-line treatment of priapism is initiated. |
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Authors:
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Mehmet Kilinc |
Publication Detail:
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Type: Journal Article Date: 2008-10-14 |
Journal Detail:
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Title: European urology Volume: 56 ISSN: 1873-7560 ISO Abbreviation: Eur. Urol. Publication Date: 2009 Sep |
Date Detail:
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Created Date: 2009-10-06 Completed Date: 2009-12-24 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7512719 Medline TA: Eur Urol Country: Switzerland |
Other Details:
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Languages: eng Pagination: 559-62 Citation Subset: IM |
Affiliation:
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Selcuk University Meram Medical School, Urology Department, 42080 Konya, Turkey. mehmkilinc@hotmail.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Brachiocephalic Veins Humans Male Middle Aged Penis / blood supply Priapism / physiopathology, surgery* Regional Blood Flow Time Factors Vascular Surgical Procedures Young Adult |
| Comments/Corrections | |
Comment In:
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Eur Urol. 2009 Sep;56(3):563
[PMID:
18945539
]
Eur Urol. 2009 Sep;56(3):563 [PMID: 18945540 ] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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