title: Surgical management of resistant priapism.
abstract: We report a 31 year old patient, presented with painful erection since 48 hours. There was no known predisposing factor on history and examination. Surgery for priapism is rarely indicated nowadays but conservative management failed to achieve detumescence in our case. So Winter's shunt surgery was done which failed then a formal shunt was created between corpora cavernosa and spongiosum which also failed to achieve detumescence. After 4 days - a formal left side cavernosa saphenous shunt procedure was done and detumescence achieved within 24 hrs .Follow up showed good results.
authors.affiliation: Department of Surgery, Maharishi Mrakandeshwer Institute of Medical Sciences and Research, Mullana, Distt-Ambala, Haryana India.
authors.forename: Rikki
authors.initials: R
authors.lastname: Singal
authors.forename: A S
authors.initials: AS
authors.lastname: Bawa
authors.forename: Rashpal
authors.initials: R
authors.lastname: Singh
authors.forename: Pradeep
authors.initials: P
authors.lastname: Sahu
authors.forename: Anupama
authors.initials: A
authors.lastname: Gupta
keywords: Low flow priapism; Management; Surgery