High-flow priapism in a 12-year-old boy: Treatment with superselective embolization.
Priapism is caused by an imbalance between penile blood inflow and outflow. There are two types of priapism: low-flow priapism due to venous occlusion and high-flow priapism due to uncontrolled arterial flow to the veins. High-flow priapism most frequently occurs as a result of penile trauma in which the intercavernosal artery disruption causes an arteriocavernosal fistula. It is rarely encountered in the pediatric and prepubertal population. Clinically, it manifests as a painless, prolonged erection after perineal trauma. Treatment ranges from expectant management to open surgical exploration with vessel ligation. We report the successful treatment of high-flow priapism in a 12-year-old prepubertal boy with superselective embolization.
Mossadeq
A R
AR
Urology Unit, Department of Surgery, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, 16150-Kubang Kerian, Malaysia, .
Sasikumar
R
R
Nazli
M Z M
MZ
Shafie
A M
AM
Ashraf
M D M
MD