[High-flow priapism caused by bilateral arterio-lacunar fistula].
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.
de Pablo Cárdenas
Alvaro
A
Servicio de Urología, Hospital Virgen del Camino, Pamplona, España.
Jiménez Aristu
Javier Ignacio
JI
Lozano Uruñuela
Francisco
F
Pinós Paul
Miguel Angel
MA
Jiménez Calvo
Jesús Manuel
JM
Ruiz Ramo
Manuel
M
Santiago González de Garibay
Andrés Maria
AM
Barberena Iriberri
Francisco Javier
FJ
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
D005339:Fibrin Foam