[Post-traumatic high-flow priapism: a case report].
A 48-year-old man, who previously had normal erectile function, visited our hospital complaining of a painless erection that had persisted for 6 days. He had suffered perineal trauma in a traffic accident 9 days earlier. A diagnosis of post-traumatic high-flow priapism was suggested from the findings on penile blood gas analysis. Selective internal pudendal arteriography showed an arterial blush along the bilateral cavernous arteries. Subsequently, embolization of a cavernous fistula was performed with an autologous clot. However, the embolus was removed within a minute, so the procedure was repeated with Gelfoam. This patient had normal erectile function after 11 months, with no recurrence of priapism.
Hosokawa
Yukinari
Y
Department of Urology, Hoshigaoka Koseinenkin Hospital.
Kishino
Tatsuki
T
Ono
Takamasa
T
Oyama
Nobuo
N
Momose
Hitoshi
H
Yamada
Kaoru
K
D000063:Accidents, Traffic; D006801:Humans; D008297:Male; D008875:Middle Aged; D010502:Perineum / Q000293:injuries*; D011317:Priapism / Q000209:etiology* / Q000601:surgery; D014949:Wounds, Nonpenetrating / Q000150:complications*