Penile artery shunt syndrome

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Penile artery shunt syndrome
Pre-embolization image of 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


Post-Embolization

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.

See Also

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Contributors: Prab R. Tumpati, MD