High-flow priapism undergoing arterial embolization: review of literature following American Urological Association guideline on the management of priapism.
We report herein a case of a patient with high-flow priapism for whom a gelatin sponge was used as a temporary occlusive agent in arterial embolization, resulting in favorable outcome. The American Urological Association guideline on the management of priapism recommends using temporary occlusive agents. We reviewed all reports published after the introduction of this guideline to compare temporary and permanent occlusive agents in terms of symptom improvement and onset of erectile dysfunction. The rate of symptom improvement differed significantly between temporary and permanent embolizing materials, but no significant difference was apparent in the rate of erectile function improvement.
Kojima
Hiroyuki
H
Department of Radiology, Kansai Medical University Hirakata Hospital, Osaka, Japan. kojimah@takii.kmu.ac.jp
Tanigawa
Noboru
N
Kariya
Shuji
S
Komemushi
Atsushi
A
Shomura
Yuzo
Y
Yanishi
Masaaki
M
Murota
Takashi
T
Sawada
Satoshi
S
D000328:Adult; D004621:Embolization, Therapeutic / Q000009:adverse effects*; D007172:Erectile Dysfunction / Q000209:etiology / Q000628:therapy; D005780:Gelatin / Q000737:chemistry; D006801:Humans; D008297:Male; D010413:Penis / Q000098:blood supply*; D017410:Practice Guidelines as Topic; D011317:Priapism / Q000209:etiology / Q000628:therapy*; D012955:Societies, Medical; D014481:United States
D005780:Gelatin