[Idiopathic priapism cured by needle aspiration and prolonged postoperative perfusion]

The authors report a case of idiopathic priapism successfully treated by needle aspiration and continuous perfusion with heparin solution. Two suprapubic cystostomy sets (Cystofix) for punction and drainage of each cavernosal body, were used. The original cystostomy tubes were inserted in the penis and attached to the continuous flow perfusion system. After the operation priapism disappeared and the penis was flaccid during the three days of perfusion. Two months after the operation, the patient had normal erections.