Simultaneous urethrocutaneous and urethrocavernous fistula after proximal corporospongiosal shunt for priapism.
Proximal corporospongiosal shunts are used for the most refractory cases of priapism. Here, we present the case of a 58-year-old man whose priapism was only partially responsive to phenylephrine injections and distal shunting. Proximal shunting was required, and he subsequently developed fistulization of the proximal penile urethra into the skin and the corpora cavernosa. The formation of simultaneous urethrocutaneous and urethrocavernous fistulae is a rare complication of proximal corporospongiosal shunts that can be initially managed with urinary diversion with a suprapubic tube.
Department of Urology, Feinberg School of Medicine, Northwestern University, Chicago, IL.
Adarsh S
AS
Manjunath
Department of Urology, Feinberg School of Medicine, Northwestern University, Chicago, IL.
Daniel J
DJ
Mazur
Department of Urology, Feinberg School of Medicine, Northwestern University, Chicago, IL.
Justin S
JS
Han
Department of Urology, Feinberg School of Medicine, Northwestern University, Chicago, IL. Electronic address: cgonzalez@nmff.org.
Christopher M
CM
Gonzalez
D000714:Anastomosis, Surgical / Q000009:adverse effects; D017577:Cutaneous Fistula / Q000209:etiology*; D005402:Fistula / Q000209:etiology*; D006801:Humans; D008297:Male; D010409:Penile Diseases / Q000209:etiology*; D010413:Penis / Q000601:surgery*; D011317:Priapism / Q000601:surgery; D019736:Prostheses and Implants; D014522:Urethral Diseases / Q000209:etiology*; D014548:Urinary Fistula / Q000209:etiology*; D013521:Urologic Surgical Procedures, Male / Q000009:adverse effects / Q000379:methods