Treatment of "high-flow" priapism with superselective transcatheter embolization: a useful alternative to surgery.
OBJECTIVE
To review the efficacy of treatment of high-flow priapism with superselective transcatheter embolization.


METHODS
Over a 2-year period, we reviewed five patients who were treated for traumatic high-flow priapism with superselective embolization. All patients underwent diagnostic angiography that demonstrated a communication between the cavernosal artery and the corpora cavernosa. Each identified fistula was embolized using gel-foam, blood clot, microcoils, or a combination of these.


RESULTS
All five patients had successful detumesence of priapism postprocedure. There was normal recurrence of early morning erection with successful detumescence for each patient within a 2- to 4-week period. Two of five patients (40%) presented with recurrence of priapism at 6 months and required a repeat embolization procedure. At 1 year, four of the five patients (80%) had normal erectile function.


CONCLUSIONS
Superselective transcatheter embolization is a useful therapeutic modality in the treatment of high-flow priapism. It provides equivalent rates of detumesence when compared to surgical techniques, and appears to have a greater success in preserving erectile function.
O'Sullivan
P
P
Department of Academic Radiology, Beaumont Hospital, Beaumont Road, Dublin 9, Ireland.
Browne
R
R
McEniff
N
N
Lee
M J
MJ
D000328:Adult; D015901:Angiography, Digital Subtraction; D004621:Embolization, Therapeutic / Q000379:methods*; D006801:Humans; D008297:Male; D010413:Penis / Q000098:blood supply*; D011317:Priapism / Q000000981:diagnostic imaging / Q000628:therapy*; D016896:Treatment Outcome