[Corpus cavernosum-corpus spongiosum shunt plus intracavernous tunneling for the treatment of prolonged ischemic priapism].

Abstract

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-CSS, which might be a safe and effective method for the treatment of PIP.

• Authors: Wen-qing Lian, Wan-shou Cui, Zhe Jin, Jian Zhang, Tao Liu, Wei-ren Li, Yi-ming Yuan, Zhong-cheng Xin
• Journal: Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences (Beijing Da Xue Xue Bao Yi Xue Ban) Vol. 42 Issue 4 Pg. 421-4 (Aug 18 2010) ISSN: 1671-167X [Print] China
• PMID: 20721256 (Publication Type: Comparative Study, Evaluation Study, Journal Article, Research Support, Non-U.S. Gov't)

Topics

• Adult
• Arteriovenous Shunt, Surgical (instrumentation, methods)
• Erectile Dysfunction (surgery)
• Humans
• Ischemia (surgery)
• Male
• Middle Aged
• Penis (blood supply, surgery)
• Priapism (physiopathology, surgery)
• Treatment Outcome
• Urologic Surgical Procedures, Male (instrumentation, methods)
• Young Adult