Post traumatic prepubertal high-flow priapism: a rare occurrence.
High-flow or arterial priapism is an uncommon condition resulting from perineal or penile trauma. The classical features are a painless erection of the cavernous bodies while the corpus spongiosum stays flaccid. This case highlights a 11-year-old boy who presented with painless semi rigid erection of 3 days duration following a blunt skateboard injury to his perineum. Following failed conservative treatment, the patient underwent bilateral internal pudendal angiography with localization and embolization. Follow up in 1 month showed patient to have normal nocturnal and reflexogenic erections. Medical and surgical treatments for high-flow priapism have been described in literature with varying degree of success and complications. The current accepted standard of care is pelvic angiography and super-selective embolization of internal pudendal artery.
Chung
Eric
E
Department of Urology, Royal Newcastle Center, Newcastle, NSW 2500, Australia. ericchg@hotmail.com
McKnight
John
J
Hosken
Bruce
B
D000792:Angiography; D002648:Child; D004621:Embolization, Therapeutic; D006801:Humans; D008297:Male; D010502:Perineum / Q000293:injuries*; D011317:Priapism / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*; D012861:Skating / Q000293:injuries*