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January 1969

Operative Management of Priapism Secondary to Sickle Cell Trait

Author Affiliations

Washington, DC
From the departments of urology (Drs. Martinez, Sharma, and MacDonald) and surgery (Dr. Smyth), Washington Hospital Center, Washington, DC.

Arch Surg. 1969;98(1):81-82. doi:10.1001/archsurg.1969.01340070099020

The management of priapism has been a frustrating experience in the past, with little success.1 This is due, in part, to the difficulty in treating the underlying cause of the priapism. Sickle cell anemia is a known and well documented cause for priapism,2-4 but only recently has the sickle cell trait been recognized as an etiologic agent.5-8 Several operative procedures have been used with little success, and the usual end result is impotence.1 The purpose of this paper is to show the efficacy of a shunt between the saphenous vein and the corpus cavernosus in relieving priapism of over two weeks duration, with the maintenance of potency postoperatively.

Report of a Case  A 37-year-old Negro came to the Emergency Room on August 9, 1967, with a history of constant painful erection for the previous 36 hours, following violent sexual activity. The patient had been advised to