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Management of partial segmental priapism.
J H Lewis1, J Javidan, C M Keoleian
1Department of Urology, Henry Ford Hospital, Detroit, Michigan, USA.
Urology
|February 13, 2001
Summary
Two patients with partial segmental priapism experienced pain and a perineal mass due to corporal thrombosis. A proximal corpus cavernosum-spongiosum shunt effectively treated these priapism cases.
Area of Science:
- Urology
- Andrology
- Surgical Case Reports
Background:
- Partial segmental priapism is a rare condition characterized by prolonged, painful erections affecting a segment of the penis.
- Prompt diagnosis and management are crucial to prevent complications such as penile fibrosis and erectile dysfunction.
Observation:
- Two male patients presented with acute, severe penile pain, a palpable perineal mass, and evidence of proximal segmental corporal thrombosis.
- Clinical examination revealed a distinct, firm segment within the corpora cavernosa, indicative of thrombosis.
Findings:
- The primary finding was proximal segmental corporal thrombosis in both patients, leading to the priapism symptoms.
- Successful treatment was achieved using a proximal corpus cavernosum-spongiosum shunt, restoring blood flow and alleviating pain.
Implications:
- This case series highlights the efficacy of the corpus cavernosum-spongiosum shunt in managing partial segmental priapism with corporal thrombosis.
- Early surgical intervention with shunting may be a viable option for preserving penile function in these rare priapism presentations.