阴茎海绵体-尿道海绵体分流术+隧道术治疗拖延性缺血性阴茎异常勃起

Objective: To investigate the efficacy and safety of corpus cavernosum-corpus spongiosum shunt (CC-CSS) plus intracavernous tunneling (CC-CSS+ICT) for the treatment of prolonged ischemic priapism (PIP) were investigated. Methods: Of 21 patients with PIP, 11 (Group A) underwent CC-CSS and 10(Group B) CC-CSS+ICT surgery. The penile hardness score (PHS) and pain visual analogue score (PVAS) were used to assess the efficacy of the surgery. Results: The erectile functions of the two groups were normal (IIEF5 23.6±1.1) before the onset of PIP, and the duration of PIP was (3.4±1.3) d. PHS 3.9±0.4, and PVAS 8.4±0.7. There was no statistical difference between the two groups (P＞0.05). On 1,3 and 5 days after the operation, the PHS and PVAS of Group B decreased significantly than those of Group A(P＜0.05). Conclusion: CC-CSS+ICT could quickly restore penile detumescence and relieve pain as compared with CC-SCSS, which might be a safe and effective method for the treatment of PIP.