title: [High-flow priapism caused by bilateral arterio-lacunar fistula].
abstract: OBJECTIVE
  Literature review about arterial priapism cases secondary to bilateral postraumatic arterial-lacunar fistula, with special attention to therapeutic management by bilateral supraselective embolization.
  
  
  METHODS
  Bibliographic search using MEDLINE. A new case of high flow priapism secondary to bilateral postraumatic arterial-lacunar fistula is reported.
  
  
  RESULTS
  There are a total of ten cases of arterial priapism secondary to bilateral postraumatic arterial-lacunar fistula. Only one patient was treated by embolization in two steps with reabsorbable material; non reabsorbable material was used for embolization in three patients; in four cases embolization was performed as a single procedure and the remainder two cases resolved spontaneously. Erectile function was recovered independently of the therapeutic option performed.
  
  
  CONCLUSIONS
  Embolization in two steps with reabsorbable material has been postulated as the treatment for arterial priapism secondary to bilateral postraumatic arterial-lacunar fistula or in cases of high flow status and drepanocytosis which do not resolve with other therapeutic measures. Nevertheless, if supraselective embolization is performed, it could not be mandatory to follow this therapeutic criteria, as it is suggested by erectile function results obtained.
authors.affiliation: Servicio de Urología, Hospital Virgen del Camino, Pamplona, España.
authors.forename: Alvaro
authors.initials: A
authors.lastname: de Pablo Cárdenas
authors.forename: Javier Ignacio
authors.initials: JI
authors.lastname: Jiménez Aristu
authors.forename: Francisco
authors.initials: F
authors.lastname: Lozano Uruñuela
authors.forename: Miguel Angel
authors.initials: MA
authors.lastname: Pinós Paul
authors.forename: Jesús Manuel
authors.initials: JM
authors.lastname: Jiménez Calvo
authors.forename: Manuel
authors.initials: M
authors.lastname: Ruiz Ramo
authors.forename: Andrés Maria
authors.initials: AM
authors.lastname: Santiago González de Garibay
authors.forename: Francisco Javier
authors.initials: FJ
authors.lastname: Barberena Iriberri
mesh_terms: D000059:Accidents; D000328:Adult; D000792:Angiography; D004621:Embolization, Therapeutic; D005339:Fibrin Foam / Q000627:therapeutic use; D005402:Fistula / Q000209:etiology*; D006801:Humans; D008297:Male; D009051:Mountaineering; D010413:Penis / Q000098:blood supply / Q000000981:diagnostic imaging / Q000293:injuries*; D011317:Priapism / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D012039:Regional Blood Flow; D014463:Ultrasonography
chemical_list: D005339:Fibrin Foam