[Successful treatment of high-flow priapism by selective arteriographic embolization of the pudendal artery].
OBJECTIVE
To evaluate the diagnosis and treatment of high-flow priapism (HFP).


METHODS
Four cases of HFP following blunt trauma to the penis or perinea underwent diagnostic examination by colour-flow Doppler ultrasound and/or superselective pudendal arteriography, which revealed bilateral arteriocorporal fistula in 1 case and monolateral in the other 3. Penile detumescence was obtained in 2 cases by superselective bilateral/monolateral arteriographic embolization of the pudendal artery with absorbable gelatin


RESULTS
The former 2 cases effected an immediate recovery of the sponge, while the other 2 cases received conservative treatment. Erectile function, able to perform normal sexual intercourse in approximately 2 months. But in the latter 2, follow-up revealed unsatisfactory potency.


CONCLUSIONS
Superselective arteriographic embolization with absorbable gelatin sponge can provide a safe, selective and effective treatment for HFP patients.
Zhao
Yong-ping
YP
Department of Andrology, the First Affiliated Hospital of Kunming Medical College, Kunming, Yunnan 650032, China. zhaoyongp@126.com
Fu
Li-jie
LJ
Yao
Jia-pei
JP
Zhou
Zheng-lian
ZL
Liu
Jian-ping
JP
D000328:Adult; D000792:Angiography; D001158:Arteries; D004621:Embolization, Therapeutic; D006801:Humans; D008297:Male; D010413:Penis / Q000098:blood supply*; D011317:Priapism / Q000000981:diagnostic imaging / Q000628:therapy*