Treatment of recurrent priapism using proximal shunt: Quackles technique

Q4 Medicine IJU Case Reports Pub Date : 2024-12-09 DOI:10.1002/iju5.12818

Miguel Toledo Jiménez, David Carracedo Calvo, Pietro Moscatiello, Alessandro Fiorillo, Rebeca Quintana Álvarez, Nathalie Pereira Rodríguez, Irene Hernández Bermejo, Iñigo Miñana Toscano, Miguel Sánchez Encinas

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Abstract

Introduction

Recurrent priapism is a rare variant of ischemic priapism that involves recurrent erections typically lasting less than 4 h. The primary goal of treatment is to prevent future episodes, with options ranging from pharmacological treatments to various surgeries.

Case presentation

A 38-year-old man experienced multiple episodes of priapism that were refractory to angioembolization of an arteriocavernous fistula and oral treatment with Cetirizine and Bicalutamide. After the patient refused intracavernous self-injections, various surgical options were considered. Ultimately, a proximal penile shunt surgery with a cavernosal–spongiosal shunt using the Quackles technique was chosen, which proved effective in preventing episodes and did not affect the patient's erectile function.

Conclusion

Penile shunt surgery using the Quackles proximal technique is a safe and effective option for the treatment of recurrent priapism.

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用近端分流术治疗复发性阴茎勃起。

简介：复发性阴茎勃起是一种罕见的缺血性阴茎勃起，包括复发性勃起，通常持续时间少于4小时。治疗的主要目标是预防未来的发作，选择范围从药物治疗到各种手术。病例介绍：一位38岁的男性经历了多次阴茎勃起，对动脉海绵瘘的血管栓塞和口服西替利嗪和比卡鲁胺治疗难治性。在患者拒绝海绵内自我注射后，考虑了各种手术选择。最终，我们选择了使用Quackles技术的近端阴茎分流术和海绵体-海绵体分流术，这被证明在预防发作方面是有效的，并且不影响患者的勃起功能。结论：采用Quackles近端技术进行阴茎分流术是治疗复发性阴茎勃起的一种安全有效的方法。

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