The surgical treatment of the priapism is complex and requires various tech
niques for diversion of the corpora cavernosa with significant morbidity. F
or the last 15 years, the author have been using a simple transglandular ca
vernosal spongiosum shunt technique, which satisfies the requirements of fu
nctional surgery: restoration of anatomy, reduced morbidity, facility to le
arn. This article is intended to precisely describe the surgical technique
and to present the results based on a personal series of 26 cases of priapi
sm operated with this technique in black patients (19 adults and seven chil
dren) in the context of sickle-cell anaemia. (C) 2001 Editions scientifique
s et medicales Elsevier SAS.