Derivación safeno-cavernosa en un caso de priapismo de flujo bajo
2005
Priapism is the painful, pathologically prolonged erection of the penis not related to sexual stimuli. It exists in two distinct forms: ischemic (low-flow) and non-ischemic (high-flow), both with different causes and treatment. Surgery is reserved as the last option and consists of distal or proximal systemic-cavernosal shunts. The case of a 22-year-old man with ischemic priapism and a history of use of antipsychotic drugs is presented. He was treated initially with cavernosal aspiration and injection of sympatomimetic drugs. We performed a Winter’s procedure without success and a sapheno-cavernous shunt which resolved the priapism. At a 9month follow up he maintained potency.
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