Penile artery shunt syndrome
Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
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Penile artery shunt syndrome | |
---|---|
Synonyms | PASS |
Pronounce | N/A |
Specialty | Urology, Interventional radiology |
Symptoms | Erectile dysfunction, Penile pain |
Complications | Priapism, Penile fibrosis |
Onset | Typically post-surgical |
Duration | Chronic |
Types | N/A |
Causes | Post-surgical arteriovenous fistula |
Risks | Surgical procedures involving the penis |
Diagnosis | Doppler ultrasound, Angiography |
Differential diagnosis | Venous leak, Arterial insufficiency |
Prevention | Careful surgical technique |
Treatment | Embolization, Surgical ligation |
Medication | N/A |
Prognosis | Variable, depends on treatment success |
Frequency | Rare |
Deaths | N/A |
Penile Artery Shunt Syndrome (PASS) is a rare urological disorder that affects the blood flow to the penis. This condition is characterized by the abnormal connection between the artery and vein in the penis, which can lead to various symptoms such as erectile dysfunction and priapism.
Introduction
The human penis is a complex organ with a network of arteries and veins that regulate blood flow. In normal circumstances, the arteries carry oxygen-rich blood to the penis, while the veins carry deoxygenated blood away. However, in Penile Artery Shunt Syndrome, an abnormal connection or shunt forms between an artery and a vein. This shunt allows blood to bypass the normal route, leading to various complications.
Symptoms
The symptoms of Penile Artery Shunt Syndrome can vary depending on the severity of the condition. The most common symptoms include:
- Erectile Dysfunction: This is a condition where a man is unable to achieve or maintain an erection. It is often the first sign of Penile Artery Shunt Syndrome.
- Priapism: This is a prolonged erection that lasts for more than four hours and is not related to sexual arousal. It can be painful and requires immediate medical attention.
- Peyronie's Disease: This is a condition characterized by the development of fibrous scar tissue inside the penis, leading to curved, painful erections.
Diagnosis
Diagnosis of Penile Artery Shunt Syndrome typically involves a combination of physical examination, patient history, and imaging tests. Ultrasound is often used to visualize the blood flow in the penis and identify any abnormal connections. In some cases, angiography may be used for a more detailed view of the blood vessels.
Treatment
Treatment for Penile Artery Shunt Syndrome depends on the severity of the condition and the patient's overall health. Options may include medication, surgery, or other interventions to correct the abnormal blood flow. It is important to seek treatment as soon as possible to prevent permanent damage to the penis.
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Contributors: Prab R. Tumpati, MD