title: High-flow priapism complicating ischemic priapism following iatrogenic laceration of the dorsal artery during a Winter procedure.
abstract: 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.
authors.affiliation: Department of Radiology, University of Trieste, Ospedale di Cattinara, Trieste, Italy.
authors.forename: Michele
authors.initials: M
authors.lastname: Bertolotto
authors.forename: Sandro
authors.initials: S
authors.lastname: Ciampalini
authors.forename: Paola
authors.initials: P
authors.lastname: Martingano
authors.forename: Fabio Pozzi
authors.initials: FP
authors.lastname: Mucelli
mesh_terms: 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