title: [Post-traumatic high-flow priapism: a case report].
abstract: 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.
authors.affiliation: Department of Urology, Hoshigaoka Koseinenkin Hospital.
authors.forename: Yukinari
authors.initials: Y
authors.lastname: Hosokawa
authors.forename: Tatsuki
authors.initials: T
authors.lastname: Kishino
authors.forename: Takamasa
authors.initials: T
authors.lastname: Ono
authors.forename: Nobuo
authors.initials: N
authors.lastname: Oyama
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Momose
authors.forename: Kaoru
authors.initials: K
authors.lastname: Yamada
mesh_terms: 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*