AB227. Our experience of T-shaped shunt for the treatment of ischemic priapism
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AB227. Our experience of T-shaped shunt for the treatment of ischemic priapism

Yuxin Tang, Zhengyu Tan, Jun Zhou, Dongyi Peng, Yu Gan, Jianfu Yang, Leye He, Yong Wang

Department of Urology, Xiangya Hospital of Central South University, Changsha 410008, China


Objective: To explore the efficacy of T-shaped shunt operation for the treatment of ischemic priapism.

Methods: We retrospectively studied nine patients with ischemic priapism. All patients were given preoperative MRI examination, T-shaped shunt operation and heparin saline flushing were performed when conservative therapy failed, a wedge biopsy of corpus cavernosum were done during the operation for tissue diagnosis.

Results: All patients had satisfactory outcome of the T-shaped shunt surgery except two patients who were diagnosed as malignant priapism, one was due to perineal neuroendocrine carcinoma and he refused taking further therapy and died 3 months later; the other was caused by penile epithelioid sarcoma and then accepted partial resection of penis; during 6–12 months follow-up, five cases developed erectile dysfunction.

Conclusions: MRI appears to be valuable for the management of ischemic priapism. Although T-shaped shunt operation has advantages of simple operation, less complications and satisfactory efficacy, it is not suitable for the patient of ischemic priapism which is caused by tumor. A wedge biopsy of corpus cavernosum during operation is helpful to confirm malignant priapism.

Keywords: Ischemic priapism; MRI; T-shaped shunt; penile epithelioid sarcoma


doi: 10.21037/tau.2016.s227


Cite this abstract as: Tang Y, Tan Z, Zhou J, Peng D, Gan Y, Yang J, He L, Wang Y. Our experience of T-shaped shunt for the treatment of ischemic priapism. Transl Androl Urol 2016;5(Suppl 1):AB227. doi: 10.21037/tau.2016.s227

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