[High flow arterial priapism secondary to post-traumatic bilateral arterio-cavernous fistula. Highly selective embolization with autologous blood clot].
High flow arterial priapism is rare and characterized to a prolonged non-painful partial erection. Arteriocavernous fistula, rarely bilateral, is associated with penile or perineal trauma (genitoperineal area). Review of the literature, in only eleven cases this fistula is bilateral. Different treatments with non common norm has been used. We report a case of a 27 years old male who presented high flow priapism secondary to bilateral postraumatic arterio-cavernous fistula. Autologous blood clot was used for fistulas embolization to minimize the risk of impotence in this young patient. No complications was registered. Eight months later the patient had normal erectile function and no fistula was detected on ultrasonography doppler. We consider arteriography with highly selective embolization using re-absorbable agents obtains the best results, the least risks and complications in this process.
Fernández Rosado
E
E
Servicio de Urología, Hospital Universitario Juan Canalejo, La Coruña.
Blanco Diez
A
A
Barbagelata López
A
A
Alvarez Castelo
L
L
Lancina Martín
A
A
Cao González
J I
JI
Novas Castro
S
S
Ruibal Moldes
M
M
Chantada Abal
V
V
González Martín
M
M
D000328:Adult; D001783:Blood Flow Velocity; D004617:Embolism; D004621:Embolization, Therapeutic / Q000379:methods; D005402:Fistula / Q000150:complications / Q000209:etiology; D005832:Genital Diseases, Male / Q000150:complications / Q000209:etiology; D006801:Humans; D008297:Male; D010413:Penis / Q000098:blood supply / Q000293:injuries; D011317:Priapism / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D016157:Vascular Fistula / Q000150:complications / Q000209:etiology