DOI: https://doi.org/10.36347/sjmcr.2026.v14i03.047

Pages: 511-512

Introduction: Ischemic priapism is a rare but serious urological emergency, carrying a high risk of permanent erectile dysfunction. If medical treatment fails, surgical diversion is indicated. Observation: We report the case of a 42-year-old patient admitted for ischemic priapism that had been developing for 18 hours. Despite comprehensive medical management including aspiration-lavage and intracavernosal injections of phenylephrine, the outcome was unfavorable, justifying surgical treatment by distal shunt using the Al-Ghorab technique. Results: Detumescence was immediate and sustained. Postoperative recovery was uneventful. At three months of follow-up, no recurrence was observed, with partially preserved erectile function. Conclusion: The Al-Ghorab technique remains an effective, simple and rapid option in the treatment of refractory ischemic priapism.