title: Transient distal penile corporoglanular shunt as an adjunct to aspiration and irrigation procedures in the treatment of early ischemic priapism.
abstract: OBJECTIVE
  Ischemic priapism, a compartment syndrome, requires urgent treatment in order to nourish the corpora cavernosa. As the first step, aspiration of blood and irrigation of the cavernosal bodies is performed to prevent fibrotic activity and secure erectile capability. During aspiration, there are risks of cardiovascular side effects of adrenergic agonists. We aimed to evaluate a transient distal penile corporoglanular shunt technique in place of aspiration and irrigation techniques for treatment of early ischemic priapism.
  
  
  METHODS
  A transient distal penile shunt was applied to 15 patients with early ischemic priapism between January 2011 and May 2012. Priapism duration, history, causes, pain, and any prior management of priapism were assessed in all patients. A complete blood count and penile Doppler ultrasonography were performed, which showed attenuated blood flow in the cavernosal artery. A sterile closed system blood collection set, which has two needles and tubing, was used for the transient distal penile shunt.
  
  
  RESULTS
  Ten of 15 patients with early ischemic priapism were successfully treated with this transient shunt technique. No additional procedures were needed after the resolution of rigidity in the 10 successfully treated patients.
  
  
  CONCLUSIONS
  The transient nature of this technique is an advantage over aspiration and irrigation in the treatment of early ischemic priapism. Our results indicate that the technique can be offered for patients with an ischemic priapism episode of no more than 7 hours.
authors.affiliation: Urology Clinics, Kartal Training and Research Hospital, Istanbul, Turkey.
authors.forename: Onder
authors.initials: O
authors.lastname: Canguven
authors.forename: Cihangir
authors.initials: C
authors.lastname: Cetinel
authors.forename: Rahim
authors.initials: R
authors.lastname: Horuz
authors.forename: Fatih
authors.initials: F
authors.lastname: Tarhan
authors.forename: Bilal
authors.initials: B
authors.lastname: Hamarat
authors.forename: Cemal
authors.initials: C
authors.lastname: Goktas
keywords: Penile disease; Penile erection; Priapism; Urological surgical procedures