title: [A case of post-traumatic high flow priapism].
abstract: 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.
authors.affiliation: Department of Urology, Kyorin University, School of Medicine.
authors.forename: Mitsuhiro
authors.initials: M
authors.lastname: Tambo
authors.forename: Masaya
authors.initials: M
authors.lastname: Ohta
authors.forename: Akihiro
authors.initials: A
authors.lastname: Murata
authors.forename: Takatsugu
authors.initials: T
authors.lastname: Okegawa
authors.forename: Shigeo
authors.initials: S
authors.lastname: Horie
authors.forename: Kikuo
authors.initials: K
authors.lastname: Nutahara
authors.forename: Eiji
authors.initials: E
authors.lastname: Higashihara
mesh_terms: 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*