[A case of post-traumatic high flow priapism].
We report a case of 50-year-old man with high flow priapism after blunt perineal trauma. Patient evaluation included intracavernal blood-gasometry, cavernography, color flow Doppler sonography, and internal pudendal arteriography. Although conservative treatment had been tried by an alpha-adrenergic agent, temporary effect was only obtained. We could successfully treat the priapism by percutaneous embolization of the left internal pudendal artery with autologous blood clot and Gelatin. 3 months after the embolization, erectile function of the patient recovered. High flow priapism as reported to date in the literature is also briefly reviewed.
Tambo
Mitsuhiro
M
Department of Urology, Kyorin University, School of Medicine.
Ohta
Masaya
M
Murata
Akihiro
A
Okegawa
Takatsugu
T
Horie
Shigeo
S
Nutahara
Kikuo
K
Higashihara
Eiji
E
D004621:Embolization, Therapeutic; D006801:Humans; D008297:Male; D008875:Middle Aged; D010502:Perineum / Q000293:injuries*; D011317:Priapism / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D018615:Ultrasonography, Doppler, Color; D014949:Wounds, Nonpenetrating / Q000628:therapy*