[Low flow priapism. Treatment by sapheno-cavernous shunt].
OBJECTIVE
We report the clinical case of a 21-year-old male presenting with a 36 hour history of low flow priapism, its diagnosis and treatment.


METHODS
We performed a bibliography review on the etiology, physiopathology, diagnosis and treatment options.


RESULTS
The patient underwent unsuccessful punction-aspiration of intracavernous blood with phenylephrine injection and cavernous irrigation with saline solution. A covernous-spongiosum shunt was performed subsequently, firstly using the Winter technique and followed by the AlGorab technique with a final positive response.


CONCLUSIONS
The performance of a sapheno-cavernous shunt is an effective treatment for the low flow priapism resistant to usual medical-surgical treatment.
Vázquez Alonso
Fernando
F
Servicio de Urología, Hospital Universitario Virgen de las Nieves de Granada, España. fernando.vazquez.alonso.sspa@juntadeandalucia.es
Vicente Prados
Francisco Javier
FJ
Fernández Sánchez
Antonio
A
Pascual Geler
Manrique
M
Funes Padilla
Carlos
C
Rodríguez Herrera
Francisco
F
Martínez Morcillo
Antonio
A
Cózar Olmo
José Manuel
JM
Espejo Maldonado
Eduardo
E
Tallada Buñuel
Miguel
M
D000328:Adult; D006801:Humans; D008297:Male; D011317:Priapism / Q000503:physiopathology / Q000601:surgery*; D012039:Regional Blood Flow; D012501:Saphenous Vein / Q000601:surgery*; D014656:Vascular Surgical Procedures