title: High-flow priapism in a 12-year-old boy: Treatment with superselective embolization.
abstract: 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.
authors: Urology Unit, Department of Surgery, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, 16150-Kubang Kerian, Malaysia, .
authors: A R
authors: AR
authors: Mossadeq
authors: R
authors: R
authors: Sasikumar
authors: M Z M
authors: MZ
authors: Nazli
authors: A M
authors: AM
authors: Shafie
authors: M D M
authors: MD
authors: Ashraf