title: [Low flow priapism. Treatment by sapheno-cavernous shunt].
abstract: 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.
authors.affiliation: Servicio de Urología, Hospital Universitario Virgen de las Nieves de Granada, España. fernando.vazquez.alonso.sspa@juntadeandalucia.es
authors.forename: Fernando
authors.initials: F
authors.lastname: Vázquez Alonso
authors.forename: Francisco Javier
authors.initials: FJ
authors.lastname: Vicente Prados
authors.forename: Antonio
authors.initials: A
authors.lastname: Fernández Sánchez
authors.forename: Manrique
authors.initials: M
authors.lastname: Pascual Geler
authors.forename: Carlos
authors.initials: C
authors.lastname: Funes Padilla
authors.forename: Francisco
authors.initials: F
authors.lastname: Rodríguez Herrera
authors.forename: Antonio
authors.initials: A
authors.lastname: Martínez Morcillo
authors.forename: José Manuel
authors.initials: JM
authors.lastname: Cózar Olmo
authors.forename: Eduardo
authors.initials: E
authors.lastname: Espejo Maldonado
authors.forename: Miguel
authors.initials: M
authors.lastname: Tallada Buñuel
mesh_terms: 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