[High-flow priapism. Echographic diagnosis and treatment using selective embolization of the cavernous artery].
OBJECTIVE
To report a case of high flow priapism and to review its diagnostic methodology and treatment options.


METHODS
A 25-year-old patient consulted with prolonged erection after penile trauma. Colour Doppler ultrasound and angiogram were performed to confirm diagnosis. Cavernous artery selective embolization with reabsorbable material was performed.


RESULTS
The case was resolved, and erectile function recovered.


CONCLUSIONS
Colour Doppler ultrasound allows to diagnose high flow priapism. Angiography, in addition to diagnosis confirmation, allows performing selective cavernous artery embolization, which is currently the treatment of choice because it resolves the clinical picture preserving erectile function.
Unidad de Urología, Centro de Recuperación y Rehabilitación de Levante, San Antonio de Benagéber, Valencia, España. jaba@pulso.com
José M
JM
Martínez Jabaloyas
José F
JF
Morera Martínez
Hortensia
H
Montes
D000062:Accidents, Occupational; D000328:Adult; D017541:Aneurysm, False / Q000209:etiology* / Q000628:therapy; D004621:Embolization, Therapeutic; D005339:Fibrin Foam; D005402:Fistula / Q000150:complications; D006801:Humans; D008297:Male; D010413:Penis / Q000098:blood supply / Q000293:injuries; D011317:Priapism / Q000628:therapy*; D014522:Urethral Diseases / Q000150:complications; D014548:Urinary Fistula / Q000150:complications; D014652:Vascular Diseases / Q000150:complications
D005339:Fibrin Foam