To explore the clinical treatment and postoperative nursing experiences of penile urethral cavernous shunt and tunneling for low-flow priapism greater than 48 hours.

Five patients with low-flow priapism longer than 48 hours underwent penile urethral cavernous shunt and tunneling after surgical contraindications were excluded. Postoperative medical care was closely coordinated through anticoagulation, antiandrogen and based on the theory of empowerment education Milk technology-encourage patients and their families to participate in disease management, using Milk technology to promote penile blood circulation, regularly assess the erection hardness of the penis, perform perioperative care, and try to restore penile cavernous arterial blood flow.

The operations were successfully completed. After treatment, the penis of the 5 patients was gradually weakened and the pain was relieved. They were discharged smoothly within 3 days of hospitalization, and all the abnormal erections were eliminated within 1 month after discharge. Follow-up for 6 to 12 months, 1 case was able to maintain Grade 3 erectile hardness and could complete sexual intercourse. One patient maintained Grade 2 erectile hardness. Three patients could only maintain Grade 1 erectile hardness and could not complete sexual intercourse.

Penile urethral cavernous shunt and tunneling is safe and effective to treat low-flow priapism longer than 48 hours. Milk technology provides a new way to promote the recovery of blood circulation after penile surgery, which is worthy of further clinical promotion. These 5 patients with priapism have a long course of priapism, and the proportion of sexual function recovery is not high. The treatment of sexual function recovery needs further study.