The management of priapism has been a frustrating experience in the past, with little success.1 This is due, in part, to the difficulty in treating the underlying cause of the priapism. Sickle cell anemia is a known and well documented cause for priapism,2-4 but only recently has the sickle cell trait been recognized as an etiologic agent.5-8 Several operative procedures have been used with little success, and the usual end result is impotence.1 The purpose of this paper is to show the efficacy of a shunt between the saphenous vein and the corpus cavernosus in relieving priapism of over two weeks duration, with the maintenance of potency postoperatively. Report of a Case A 37-year-old Negro came to the Emergency Room on August 9, 1967, with a history of constant painful erection for the previous 36 hours, following violent sexual activity. The patient had been advised to