Urethrocutaneous fistula post-Al-Ghorab shunt

Authors

  • João Roberto Paladino Jr. ABC MEDICAL SCHOOL DEPARTAMENT OF UROLOGY
  • Marcelo Wroclawski ABC MEDICAL SCHOOL DEPARTAMENT OF UROLOGY
  • Alexandre Den Julio ABC MEDICAL SCHOOL DEPARTAMENT OF UROLOGY
  • Gabriel Kushyama Teixeira ABC MEDICAL SCHOOL DEPARTAMENT OF UROLOGY
  • Sidney Glina ABC MEDICAL SCHOOL DEPARTAMENT OF UROLOGY
  • Antonio Carlos Lima Pompeo ABC MEDICAL SCHOOL DEPARTAMENT OF UROLOGY

DOI:

https://doi.org/10.5489/cuaj.1774

Keywords:

Priapism, Erectile Dysfunction, Urinary Fistula, Urethral Stricture

Abstract

Priapism is a rare event that may be induced by clinical conditions and medications. Ischemic priapism (IP) is a compartment syndrome of the penis, and it constitutes a medical emergency that may cause significant morbidity on the erectile function in particular. We report a case of a 30-year-old male in his fourth episode of priapism. The aspiration and washing of the corpora cavernosa with saline solution were performed, followed by washing with adrenaline solution without resolution of the condition.Treatment was followed by the performance of the Al-Ghorab shunt procedure with dorsal incision of the glans. During follow-up, an area of necrosis distal to the incision was detected, and after the catheter removal on postoperative day 14, the patient developed a glandular dorsal urethrocutaneous fistula and meatal stenosis. The meatal stenosis was corrected by Johanson urethroplasty with aneo-meatus at the coronal sulcus, along with resection and debridement of the fistula tract and a three-layer closure.

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Published

2014-08-11

How to Cite

Paladino Jr., J. R., Wroclawski, M., Den Julio, A., Kushyama Teixeira, G., Glina, S., & Lima Pompeo, A. C. (2014). Urethrocutaneous fistula post-Al-Ghorab shunt. Canadian Urological Association Journal, 8(7-8), e570–1. https://doi.org/10.5489/cuaj.1774

Issue

Vol. 8 No. 7-8 (2014): CUAJ August

Section

Case Report

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