title: [Our experience in high-flow priapism due to uni-or bilateral arterio-lacunar fistula].
abstract: 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.
authors.affiliation: Unidad de Andrología, Servicio de Urología, Hospital Univ. de Bellvitge, L'Hospitalet, Barcelona. jrtol@wanadoo.es
authors.forename: J
authors.initials: J
authors.lastname: Rodríguez Tolrá
authors.forename: J M
authors.initials: JM
authors.lastname: Campaña Cuadrado
authors.forename: J
authors.initials: J
authors.lastname: Ropero Valverde
authors.forename: V
authors.initials: V
authors.lastname: Ruiz Salas
authors.forename: E
authors.initials: E
authors.lastname: Franco Miranda
mesh_terms: 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