High-flow priapism: a novel way of lateralizing the lesion in radiologically inapparent cases.
High-flow priapism is a rare entity, which is typically diagnosed with the help of either color flow Doppler ultrasound or arteriogram. In the case presented, both of these diagnostic modalities were unsuccessful in uncovering a vascular lesion. The patient underwent an empiric selective embolization of the left pudendal artery followed by a repeat angiogram of the right because of persistent tumescence. This procedure uncovered a previously unseen arteriolacunar fistula, which was treated successfully with a second selective embolization.
Ankem
M K
MK
Department of Surgery, Division of Urology, Cooper Hospital/University Medical Center, Robert Wood Johnson Medical School at Camden, University of Medicine and Dentistry of New Jersey, Camden, New Jersey, USA.
Gazi
M A
MA
Ferlise
V J
VJ
Hartanto
V H
VH
Doshi
N M
NM
Diamond
S M
SM
D000328:Adult; D000792:Angiography; D001490:Basketball / Q000293:injuries*; D004621:Embolization, Therapeutic; D005402:Fistula / Q000150:complications / Q000175:diagnosis; D006801:Humans; D008297:Male; D010409:Penile Diseases / Q000150:complications / Q000175:diagnosis; D010413:Penis / Q000098:blood supply; D010502:Perineum / Q000293:injuries*; D011317:Priapism / Q000145:classification* / Q000209:etiology* / Q000628:therapy; D007507:Therapeutic Irrigation; D014949:Wounds, Nonpenetrating / Q000150:complications*