[High flow priapism after perineal trauma, successfully treated by unilateral embolization of the internal pudendal artery: a case report].
We reported a case of 45-year-old patient with high flow priapism secondary to arteriovenous fistula produced by perineal trauma. Diagnosis was based on the results of gasometry in cavernous blood, cavernography and pudental arteriography. Although conservative treatment had been tried, complete resolution of priapism was not obtained. We could successfully treat the priapsim by percutaneous temporary embolization of the right internal pudendal artery with Gelatin. Erection and sexual function, after 2 months of treatment, was normal. The rationale for the use of this embolization in the treatment of high flow priapism and its etiology was discussed.
Kuwahara
M
M
Department of Urology, Fujisaki Hospital.
Fujisaki
N
N
Nakamura
K
K
Ohta
K
K
Nishitani
M
M
Takagi
N
N
D004621:Embolization, Therapeutic; D006801:Humans; D008297:Male; D008875:Middle Aged; D010413:Penis / Q000098:blood supply; D010502:Perineum / Q000293:injuries*; D011317:Priapism / Q000209:etiology / Q000628:therapy*; D014949:Wounds, Nonpenetrating / Q000150:complications*