[Our experience in high-flow priapism due to uni-or bilateral arterio-lacunar fistula].
OBJECTIVE
To present our experience in both uni-and bilateral priapism, highlighting good results obtained with supraselective embolisation.


METHODS
We present 5 cases of high-flow priapism secondary to perineal trauma, with a mean age of 31 years (24-43 years). The mean time to presentation from the moment of the trauma was 18, 6 days (1-60 days). Diagnosis was confirmed through gasometry of the corpora cavernosa, penile Doppler ultrasound (2 cases) and selective arteriography of the pudendal artery. In all cases treatment was by supralective embolisation with gelatin sponge. In the two bilateral cases, embolisation was performed in the same act.


RESULTS
In the short-term was a recovery of flaccidity and in the long-term (3-4 months) a recovery of erection with no fibrotic sequelae of the corpora cavernosa.


CONCLUSIONS
Embolisation of the lacerated artery, in a single procedure in cases of bilateral lacerations, provides excellent results.
Rodríguez Tolrá
J
J
Unidad de Andrología, Servicio de Urología, Hospital Univ. de Bellvitge, L'Hospitalet, Barcelona. jrtol@wanadoo.es
Campaña Cuadrado
J M
JM
Ropero Valverde
J
J
Ruiz Salas
V
V
Franco Miranda
E
E
D000328:Adult; D001783:Blood Flow Velocity; D004621:Embolization, Therapeutic; D006801:Humans; D008297:Male; D010413:Penis / Q000098:blood supply*; D010502:Perineum / Q000293:injuries*; D011317:Priapism / Q000503:physiopathology / Q000628:therapy*; D012189:Retrospective Studies; D016157:Vascular Fistula / Q000209:etiology* / Q000503:physiopathology