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Surgical technique for T-shunt procedure. (A) A #10 blade knife is inserted through the glans penis to the hub of the blade. The knife handle is rotated 90 degrees laterally then withdrawn to enlarge the tunical defect; (B) an opening, or shunt, is created from the corpus cavernosum through the glans penis to the corpus spongiosum to allow evacuation of blood from the ischemic corpora and to accommodate the high flow state of post-ischemic hyperemia.
