Objective: It is described that shunt techniques are the treatment options when aspiration and me-dical treatments were failed. Especially, the distal shunt techniques are popular in nowadays. The aim of the study is to demonstrate mid-term outcomes of the distal surgical technique of priapism, Al-Ghorab approach.
Material and Methods: Fifteen patients applied to our emergency clinic between June 2008 and June 2012 with the diagnosis of priapism were included in the study. Patients were initially treated by aspiration and intracavernosal sympathomimetic (epineph-rine) application. Then Al-Ghorab technique was applied under general anesthesia to these patients. Patients were further evaluated with duration of pri-apism, post-operative quality of life, visual analogue scale (VAS), and international index of erectile func-tion (IIEF-5).
Results: Mean patient age was 45.2 (39-52). Mean priapism duration was 16.2 hours (8-22). Pre-operative VAS scores was 6,9 (5-9) and postoperative VAS scores was 2,3 (1-5). After 12 months of follow op, IIEF scores were found to be 19,4 (5-23).
Conclusion: Even though Al-Ghorab is an inva-sive approach, we believe that it is a safe and efficient technique.
Key Words: Priapism, Distal Shunt, Al-Ghorab
Abstract
Objective: It is described that shunt techniques are the treatment options when aspiration and me-dical treatments were failed. Especially, the distal shunt techniques are popular in nowadays. The aim of the study is to demonstrate mid-term outcomes of the distal surgical technique of priapism, Al-Ghorab approach.
Material and Methods: Fifteen patients applied to our emergency clinic between June 2008 and June 2012 with the diagnosis of priapism were included in the study. Patients were initially treated by aspiration and intracavernosal sympathomimetic (epineph-rine) application. Then Al-Ghorab technique was applied under general anesthesia to these patients. Patients were further evaluated with duration of pri-apism, post-operative quality of life, visual analogue scale (VAS), and international index of erectile func-tion (IIEF-5).
Results: Mean patient age was 45.2 (39-52). Mean priapism duration was 16.2 hours (8-22). Pre-operative VAS scores was 6,9 (5-9) and postoperative VAS scores was 2,3 (1-5). After 12 months of follow op, IIEF scores were found to be 19,4 (5-23).
Conclusion: Even though Al-Ghorab is an inva-sive approach, we believe that it is a safe and efficient technique.
Key Words: Priapism, Distal Shunt, Al-Ghorab