Table 3.

Summary of distal shunting procedures and how they are performed

Winter’s Shunt	A Travernol needle is used to form a fistula between the glans penis and corpora cavernosa[24]
Ebbehoj’s Procedure	A scalpel is laterally inserted into the glans penis piercing one or both of the corpora cavernosa[28]
T-shunt	A 10 blade is inserted into the glans penis lateral to the external urethral meatus and rotated 90 degrees. Deoxygenated blood is then “milked” out[26,29]
Al-Ghorab’s shunt	A 2 cm incision is made on the dorsum of the penis 1 cm distal to the coronal sulcus and a circular core of tunica albuginea approximately 5mm diameter is removed.[27,30] The Burnett snake maneuverer modification involves cannulating a 7/8 Heger through the removed tunica albuginea to the proximal limit of the corpora cavernosa. The dilator is then removed and the penis is compressed to remove stagnant blood.

A brief overview of the procedural differences in the different types of distal shunts