T-shaped Shunt With Intracavernosal Tunneling for a Pediatric Case of Refractory Ischemic Priapism.
We present the first reported case of refractory pediatric priapism treated by intracavernosal tunneling T shunt. A 12-year-old male, with sickle cell disease, presented with 72 hours of painful erection. The patient failed conservative measures including aspiration, injection of phenylephrine, as well as distal shunt procedure. A T-T shunt was performed, as previously described in the adult literature. There was immediate resolution of the erection with no complications. At 1-year follow-up, he reports no subsequent episodes of priapism and normal erections. T shunt with tunneling can be performed in select cases of severe pediatric refractory ischemic priapism.
Cohen Children's Medical Center, Lake Success, NY. Electronic address: Casey.Seideman@gmail.com.
Casey A
CA
Seideman
Cohen Children's Medical Center, Lake Success, NY.
Jordan S
JS
Gitlin
D002648:Child; D006801:Humans; D007511:Ischemia / Q000150:complications / Q000601:surgery*; D008297:Male; D010413:Penis / Q000098:blood supply* / Q000601:surgery*; D011317:Priapism / Q000209:etiology / Q000601:surgery*; D013521:Urologic Surgical Procedures, Male / Q000379:methods