[High-flow priapism following blunt perineal trauma. Interventional therapy].
A 10-year old boy developed an arteriocavernosal fistula with a permanent penile erection (high-flow priapism) after a blunt perineal trauma. The diagnosis was established by Doppler ultrasound, blood gas analysis and angiography. A conservative treatment attempt with penile cooling and puncture of the cavernosal corpera with blood aspiration and etilefrine instillation failed to resolve the priapism. An embolization of both bulbocavernosal arteries was followed by an immediate detumescence. Normal functional erection was preserved. No recurrence was observed during a follow-up of 6 months.
Institut für Strahlendiagnostik, Städtischen Kliniken Dortmund.
K
K
Mathias
H
H
Jäger
M
M
Witkowski
A
A
Aspiotis
H
H
Schulze
M
M
Albrecht
D000063:Accidents, Traffic; D000792:Angiography; D001642:Bicycling; D002648:Child; D006801:Humans; D008297:Male; D010413:Penis / Q000098:blood supply / Q000000981:diagnostic imaging / Q000293:injuries*; D010502:Perineum / Q000098:blood supply / Q000000981:diagnostic imaging / Q000293:injuries*; D011317:Priapism / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D018608:Ultrasonography, Doppler; D018084:Ultrasonography, Interventional; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging
High-flow-Priapismus nach stumpfem perinealem Trauma. Interventionelle Therapie.