Selective arterial embolization for post-traumatic high flow priapism.
We report on a 23 year old patient with high flow priapism following blunt perineal trauma in which arterial-cavernosal fistula was missed by penile Doppler ultrasonography but was successfully localized by arteriography and embolized using Gelfoam pledgets. Detumescence was complete in 2 days and sexual function returned to the premorbid state after 4 weeks. The diagnosis, pathophysiology, and treatment of high flow priapism and review of the literature are discussed.
Logarakis
N F
NF
Division of Urology, The Toronto Hospital, University of Toronto, Toronto, Ontario, Canada.
Simons
M E
ME
Hassouna
M
M
D000328:Adult; D004621:Embolization, Therapeutic; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D010413:Penis / Q000000981:diagnostic imaging; D011317:Priapism / Q000628:therapy*; D011859:Radiography; D014463:Ultrasonography