[Superselective transarterial coil embolization for therapy of high-flow priapism: a case report].
We present the case of a 22 year old man who developed a permanent penile erection after a blunt perineal trauma. Conservative treatment in terms of cooling, compression and puncture of the cavernosal corpora with blood aspiration failed to resolve the priapism. Angiography confirmed the diagnosis of high-flow priapism caused by an arteriovenous fistula. Interventional coil embolization of the fistula was effective meaning that complete detumescence was achieved and erectile function was preserved.
Ringe
K I
KI
Institut für Radiologie, Medizinische Hochschule Hannover, Carl-Neuberg Strasse 1, 30625, Hannover, Germany. ringe.kristina@mh-hannover.de
Waalkes
S
S
Herrmann
T
T
Galanski
M
M
Rosenthal
H
H
D000792:Angiography; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000628:therapy; D004621:Embolization, Therapeutic / Q000379:methods*; D006801:Humans; D008297:Male; D010413:Penis / Q000098:blood supply*; D010502:Perineum / Q000293:injuries; D011317:Priapism / Q000000981:diagnostic imaging / Q000628:therapy*; D018608:Ultrasonography, Doppler; D014949:Wounds, Nonpenetrating / Q000150:complications; D055815:Young Adult