Treatment of recurrent priapism using proximal shunt: Quackles technique

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‐yea...

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Main Authors: 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
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:IJU Case Reports
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Online Access:https://doi.org/10.1002/iju5.12818
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author 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
author_facet 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
author_sort Miguel Toledo Jiménez
collection DOAJ
description 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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spelling doaj-art-a3e3ed9fabe24f2e9554b49aad8622dc2025-08-20T02:57:40ZengWileyIJU Case Reports2577-171X2025-01-0181737610.1002/iju5.12818Treatment of recurrent priapism using proximal shunt: Quackles techniqueMiguel Toledo Jiménez0David Carracedo Calvo1Pietro Moscatiello2Alessandro Fiorillo3Rebeca Quintana Álvarez4Nathalie Pereira Rodríguez5Irene Hernández Bermejo6Iñigo Miñana Toscano7Miguel Sánchez Encinas8Servicio de Urología Hospital Universitario Rey Juan Carlos Móstoles SpainServicio de Urología Hospital Universitario Rey Juan Carlos Móstoles SpainServicio de Urología Hospital Universitario Rey Juan Carlos Móstoles SpainServicio de Urología Hospital Universitario Rey Juan Carlos Móstoles SpainServicio de Urología Hospital Universitario Rey Juan Carlos Móstoles SpainServicio de Urología Hospital Universitario Rey Juan Carlos Móstoles SpainServicio de Urología Hospital Universitario Rey Juan Carlos Móstoles SpainServicio de Urología Hospital Universitario Rey Juan Carlos Móstoles SpainServicio de Urología Hospital Universitario Rey Juan Carlos Móstoles SpainIntroduction 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.https://doi.org/10.1002/iju5.12818Erectile disfunctionPenile shuntPenile surgeryRecurrent priapism
spellingShingle 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
Treatment of recurrent priapism using proximal shunt: Quackles technique
IJU Case Reports
Erectile disfunction
Penile shunt
Penile surgery
Recurrent priapism
title Treatment of recurrent priapism using proximal shunt: Quackles technique
title_full Treatment of recurrent priapism using proximal shunt: Quackles technique
title_fullStr Treatment of recurrent priapism using proximal shunt: Quackles technique
title_full_unstemmed Treatment of recurrent priapism using proximal shunt: Quackles technique
title_short Treatment of recurrent priapism using proximal shunt: Quackles technique
title_sort treatment of recurrent priapism using proximal shunt quackles technique
topic Erectile disfunction
Penile shunt
Penile surgery
Recurrent priapism
url https://doi.org/10.1002/iju5.12818
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