title: Postpriapism erectile dysfunction and shunt-related urethral stricture: long-term morbidity after proximal shunt for ischaemic priapism.
abstract: Recent guidelines have advocated for step-wise treatment of increasing invasiveness in the management of ischaemic priapism though with low-level evidences. In the past, proximal shunts were favoured as first-line treatment. We present an African man who had proximal shunt (cavernoso-spongiosal) three decades ago for ischaemic priapism and subsequently had long-term morbidity over the three decades with adverse effect on his quality of life. Recent guidelines appear to be sound despite their limitations and more invasive cavernoso-spongiosal shunts may be associated with significant long-term morbidities and poor quality of life.
authors.affiliation: Urology unit, Department of Surgery, University of Ilorin Teaching Hospital, Ilorin, Nigeria.
authors.forename: Jibril Oyekunle
authors.initials: JO
authors.lastname: Bello
mesh_terms: D000328:Adult; D000714:Anastomosis, Surgical / Q000009:adverse effects; D007172:Erectile Dysfunction / Q000209:etiology*; D006801:Humans; D007511:Ischemia / Q000601:surgery*; D008297:Male; D010413:Penis / Q000098:blood supply*; D011317:Priapism / Q000601:surgery*; D013997:Time Factors; D014525:Urethral Stricture / Q000209:etiology*; D013520:Urologic Surgical Procedures / Q000009:adverse effects
keywords: Ischaemic priapism; Postpriapism erectile dysfunction; cavernoso-spongiosal shunt; shunt-related urethral stricture