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Related Experiment Videos

Experiences with priapism.

P J Moloney, G B Elliott, H W Johnson

    The Journal of Urology
    |July 1, 1975
    PubMed
    Summary
    This summary is machine-generated.

    Saphenous bypass surgery for priapism offers good results if performed within 36 hours. Prior aspiration and irrigation may extend this treatment window for priapism relief.

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    Area of Science:

    • Urology
    • Surgical Innovation
    • Male Reproductive Health

    Background:

    • Priapism, a persistent erection, requires timely intervention to prevent long-term complications.
    • Traditional treatments for priapism have varying success rates and potential side effects.

    Purpose of the Study:

    • To evaluate the efficacy of saphenous bypass surgery in treating priapism.
    • To investigate the role of prior aspiration and irrigation in managing priapism.

    Main Methods:

    • A retrospective analysis of 11 patients treated with saphenous bypass for priapism over a 10-year period.
    • Assessment of functional outcomes based on the timing of intervention and prior procedures.

    Main Results:

    • Good functional outcomes were consistently achieved when saphenous bypass was performed within 36 hours of priapism onset.

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  • Aspiration and irrigation prior to bypass appeared to extend the viable treatment interval.
  • Persistent graft patency was linked to subsequent impotence, necessitating potential shunt ligation.

    • Conclusions:

    • Saphenous bypass is an effective treatment for priapism, particularly when initiated early.
    • The technique of aspiration and irrigation may facilitate spontaneous detumescence by creating temporary veno-cavernous communication.
    • Close monitoring for impotence is crucial post-surgery, with a recommended 3-month window before considering shunt ligation.