[Corpus cavernosum-corpus spongiosum shunt plus intracavernous tunneling for the treatment of prolonged ischemic priapism].
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.
Lian
Wen-qing
WQ
Andrology Center, Peking University First Hospital, Institute of Urology, Peking University, Beijing 100034, China.
Cui
Wan-shou
WS
Jin
Zhe
Z
Zhang
Jian
J
Liu
Tao
T
Li
Wei-ren
WR
Yuan
Yi-ming
YM
Xin
Zhong-cheng
ZC
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