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-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.