title: Treatment of postpriapism erectile dysfunction by closure of persistent distal glans-cavernosum fistulas 5 years after shunt creation.
abstract: Erectile dysfunction is common after the formation of a glans-cavernosum shunt for intractable priapism. Often patients require placement of a penile prosthesis to restore sexual function. We report a case of restoration of full erections after reversal of a glans-cavernosum shunt in a 30-year-old man who had been treated for priapism 5 years previously. On the basis of our experience, it seems reasonable to attempt shunt reversal for correction of erectile dysfunction in selected patients who likely have a persistent vascular fistula.
authors.affiliation: Department of Urology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania 15213, USA. steinrj@upmc.edu
authors.forename: Robert J
authors.initials: RJ
authors.lastname: Stein
authors.forename: Ankur S
authors.initials: AS
authors.lastname: Patel
authors.forename: Ronald M
authors.initials: RM
authors.lastname: Benoit
mesh_terms: D000328:Adult; D007172:Erectile Dysfunction / Q000209:etiology* / Q000601:surgery*; D005402:Fistula / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D008297:Male; D010409:Penile Diseases / Q000209:etiology* / Q000601:surgery*; D011183:Postoperative Complications / Q000601:surgery*; D011317:Priapism / Q000601:surgery*; D013997:Time Factors; D013520:Urologic Surgical Procedures / Q000009:adverse effects