title: Sonographic diagnosis of a posttraumatic arteriocavernosal fistula resulting in high-flow priapism.
abstract: We present a case of high-flow priapism due to perineal trauma and subsequent arteriocavernosal fistula, which was diagnosed by sonography. Selective arterial embolization led to complete detumescence without compromising the patient's erectile function. Color Doppler sonography is an appropriate diagnostic tool to diagnose arteriocavernosal fistula. Selective arterial embolization is a safe and effective therapeutic option.
authors.affiliation: Department of Urology, University of Erlangen, Erlangen, Germany. bastian.keck@uk-erlangen.de.
authors.forename: Bastian
authors.initials: B
authors.lastname: Keck
authors.forename: Gabriele
authors.initials: G
authors.lastname: Lotter
authors.forename: Wolf Ferdinand
authors.initials: WF
authors.lastname: Wieland
authors.forename: Bernd
authors.initials: B
authors.lastname: Wullich
authors.forename: Michael
authors.initials: M
authors.lastname: Uder
authors.forename: Dirk Gehrhard
authors.initials: DG
authors.lastname: Engehausen
authors.forename: Hans Martin
authors.initials: HM
authors.lastname: Fritsche
mesh_terms: D000328:Adult; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology; D001159:Arterio-Arterial Fistula / Q000150:complications / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D010413:Penis / Q000098:blood supply / Q000000981:diagnostic imaging*; D010502:Perineum / Q000293:injuries*; D011317:Priapism / Q000209:etiology*; D018615:Ultrasonography, Doppler, Color