title: High-flow priapism undergoing arterial embolization: review of literature following American Urological Association guideline on the management of priapism.
abstract: 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.
authors.affiliation: Department of Radiology, Kansai Medical University Hirakata Hospital, Osaka, Japan. kojimah@takii.kmu.ac.jp
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Kojima
authors.forename: Noboru
authors.initials: N
authors.lastname: Tanigawa
authors.forename: Shuji
authors.initials: S
authors.lastname: Kariya
authors.forename: Atsushi
authors.initials: A
authors.lastname: Komemushi
authors.forename: Yuzo
authors.initials: Y
authors.lastname: Shomura
authors.forename: Masaaki
authors.initials: M
authors.lastname: Yanishi
authors.forename: Takashi
authors.initials: T
authors.lastname: Murota
authors.forename: Satoshi
authors.initials: S
authors.lastname: Sawada
mesh_terms: 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
chemical_list: D005780:Gelatin