title: Intracorporeal Dilatation Plus Al-Ghorab Corporoglandular Shunt for Salvage Management of Prolonged Ischemic Priapism.
abstract: Ischemic priapism (IP) is a urological emergency that requires early intervention in order to prevent irreversible structural and functional changes. The purpose of penile shunt surgery is to passage out ischemic blood in the corpus cavernosum (CC), restoring the normal circulation within these structures. Here, we present our first experience using modification of Al-Ghorab shunt procedure to treat severe and prolonged IP. The Al-Ghorab shunt procedure was modified by the retrograde insertion of a 7/8 Hegar dilator into the opening of the distal cavernous tissue via the original Al-Ghorab incision. Priapism was successfully relieved, and no recurrent IP was reported.
authors.affiliation: Department of Urology, Cipto Mangunkusumo Hospital - Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia.
authors.forename: Andika
authors.initials: A
authors.lastname: Afriansyah
authors.affiliation: Department of Urology, Sarjito Hospital - Universitas Gadjah Mada, Yogyakarta, Indonesia.
authors.forename: Prahara
authors.initials: P
authors.lastname: Yuri
authors.affiliation: Department of Urology, Fatmawati Hospital, Jakarta, Indonesia.
authors.forename: Yonas Immanuel
authors.initials: YI
authors.lastname: Hutasoit
keywords: Al-Ghorab shunt; Intracorporeal dilatation; Ischemic priapism; Winter procedure