High-flow priapism complicating ischemic priapism following iatrogenic laceration of the dorsal artery during a Winter procedure.
We report a case of a patient who developed high-flow priapism following a Winter procedure performed for the treatment of low-flow ischemic priapism. During the creation of bilateral cavernosal-glandular shunts, the tip of the left dorsal artery was accidentally lacerated. A fistula developed through the shunt between the torn artery and the cavernosal sinusoids of the tip of the left corpus cavernosum. Gray-scale and Doppler sonography and angiography allowed diagnosis and guided the therapeutic approach.
Bertolotto
Michele
M
Department of Radiology, University of Trieste, Ospedale di Cattinara, Trieste, Italy.
Ciampalini
Sandro
S
Martingano
Paola
P
Mucelli
Fabio Pozzi
FP
D000328:Adult; D001158:Arteries / Q000293:injuries*; D006801:Humans; D007049:Iatrogenic Disease; D007511:Ischemia / Q000150:complications* / Q000000981:diagnostic imaging; D022125:Lacerations / Q000000981:diagnostic imaging; D008297:Male; D011317:Priapism / Q000150:complications* / Q000000981:diagnostic imaging; D018608:Ultrasonography, Doppler