Surgical Management of Resistant Priapism

Abstract

We report a 31 year old patient, presented with painful erection since 48 hours. There was no known predisposing factor on history and examination. Surgery for priapism is rarely indicated nowadays but conservative management failed to achieve detumescence in our case. So Winter's shunt surgery was done which failed then a formal shunt was created between corpora cavernosa and spongiosum which also failed to achieve detumescence. After 4 days -a formal left side cavernosa saphenous shunt procedure was done and detumescence achieved within 24 hrs .Follow up showed good results.

Conversion of Low-Flow Priapism to High-Flow State Using T-Shunt with Tunneling

“…Few idiopathic cases have been described [12]. There are a few reports of iatrogenic causes after treatment for a low-flow state [13–16] and there is one due to an iatrogenic laceration of the cavernosal artery [17].…”

“…Current literature describes arterial priapism in relation to patients who have had perineal or crural trauma that lacerates either the cavernosal artery or one of its branches causing an arteriolacunar fistula. Few idiopathic cases have been described [ 12 ]. There are a few reports of iatrogenic causes after treatment for a low-flow state [ 13 – 16 ] and there is one due to an iatrogenic laceration of the cavernosal artery [ 17 ].…”

Enhancement of the liver status of Sentul chickens from the starter phase induced by irradiated chitosan

“…Impaired liver function results from damage to hepatocytes which causes changes in transport function and membrane permeability, leading to the release of SGPT, SGOT, and -GT enzymes in the cytoplasm into blood circulation [24]. This is because the Transaminase Enzyme acts as a catalyst in the process of transferring amino groups from alpha-amino and alpha-keto acids [25,26]. In addition, disturbances in liver function are caused by oxidative stress due to the presence of free radicals in the body, which are reduced by antioxidants.…”

“…In addition, disturbances in liver function are caused by oxidative stress due to the presence of free radicals in the body, which are reduced by antioxidants. Antioxidants can be obtained from outside the body (food) or self-produced [25][26][27][28][29].…”