Priapism: A true urological emergency.

Mohammad Naeem; Liaqat Ali Toori; Shazad Ahmad; Khursheed Anwar

Author(s)

Mohammad Naeem Department of Urology, Pakistan Institute of Medical Sciences (PIMS), Islamabad, Pakistan

Liaqat Ali Toori Department of Urology, Pakistan Institute of Medical Sciences (PIMS), Islamabad, Pakistan

Shazad Ahmad Department of Urology, Pakistan Institute of Medical Sciences (PIMS), Islamabad, Pakistan

Khursheed Anwar Department of Urology, Pakistan Institute of Medical Sciences (PIMS), Islamabad, Pakistan

Abstract

To share our experience in surgical management of priapism. It is a case series conducted at the department of Urology, Pakistan Institute of Medical Sciences, Islamabad, from 1st January 1998 to 31st December 2002. Sample size ws 12 and technique was non-probability conventient sampling. After diagnosis all the patients were subjected to various shunt procedures. Results wee assessed on a proforma and data was analyzed on SPSS. The mean age of the patients was 32 years with range of 25-40 years 75% of the patients presented with a delay of 24-75 hours. One patient achieved detumescence by aspiration and irrigation and primary surgical treatment was tried in 11 cases. It was successful in nine cases (81.81%) with two failures (18.19%). In primary treatment, nine patients underwent winter’s shunt and two patients had Al-Ghorab shunt. Wintr’s shunt was successful in seven patients (77.7%). Two patients who failed to achieve detumusence were successfully operated with quackels shunt and Al-Ghorab Shunt respectively the mortality rate was two 16.6%. Priapism is an emergency and it needs prompt treatment to achieve detumescence and preserve potency. Winter shunt’s is an effective modality in management of priapism.

Publication Details

Page(s) 17-19

DOI DOI not available

Published Journal: Journal of Surgery (PIMS), Volume: 26, Issue: 1, Year: 2003

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