title: [Corpus cavernosum-corpus spongiosum shunt plus intracavernous tunneling for the treatment of prolonged ischemic priapism].
abstract: OBJECTIVE
  To investigate the efficacy and safety of corpus cavernosum-corpus spongiosum shunt (CC-CSS) plus intracavernous tunneling(CC-CSS+ICT) for the treatment of prolonged ischemic priapism (PIP) were investigated.
  
  
  METHODS
  Of 21 patients with PIP, 11 (Group A) underwent CC-CSS and 10 (Group B) CC-CSS+ICT surgery. The penile hardness score (PHS) and pain visual analogue score (PVAS) were used to assess the efficacy of the surgery.
  
  
  RESULTS
  The erectile functions of the two groups were normal (IIEF5 23.6+/-1.1) before the onset of PIP, and the duration of PIP was (3.4+/-1.3) d. PHS 3.9+/-0.4, and PVAS 8.4+/-0.7. There was no statistical difference between the two groups (P>0.05). On 1, 3 and 5 days after the operation, the PHS and PVAS of Group B decreased significantly than those of Group A (P<0.05).
  
  
  CONCLUSIONS
  CC-CSS+ICT could quickly restore penile detumescence and relieve pain as compared with CC-CSS, which might be a safe and effective method for the treatment of PIP.
authors: Andrology Center, Peking University First Hospital, Institute of Urology, Peking University, Beijing 100034, China.
authors: Wen-qing
authors: WQ
authors: Lian
authors: Wan-shou
authors: WS
authors: Cui
authors: Zhe
authors: Z
authors: Jin
authors: Jian
authors: J
authors: Zhang
authors: Tao
authors: T
authors: Liu
authors: Wei-ren
authors: WR
authors: Li
authors: Yi-ming
authors: YM
authors: Yuan
authors: Zhong-cheng
authors: ZC
authors: Xin
mesh_terms: D000328:Adult; D001166:Arteriovenous Shunt, Surgical / Q000295:instrumentation / Q000379:methods; D007172:Erectile Dysfunction / Q000601:surgery; D006801:Humans; D007511:Ischemia / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010413:Penis / Q000098:blood supply / Q000601:surgery*; D011317:Priapism / Q000503:physiopathology / Q000601:surgery*; D016896:Treatment Outcome; D013521:Urologic Surgical Procedures, Male / Q000295:instrumentation / Q000379:methods; D055815:Young Adult