Post-traumatic pre-pubertal high-flow priapism: bilateral superselective embolisation.
High-flow priapism is uncommon particularly in children. While it is a non-emergent condition, delayed management may result in secondary vascular deformities. Embolisation is not commonly offered as first-line management because of the risk of potentially severe ramifications regarding sexual function, particularly with cases of bilateral penile arteriolacunar fistulae. We demonstrate successful application of superselective embolisation technique using absorbable material with no long-term adverse effect on erectile function.
Southern Health, Clayton, Victoria, Australia. zhi_yie@yahoo.com.au
Zhi-Yie Judith
ZY
Tan
James
J
Burnes
D015901:Angiography, Digital Subtraction / Q000379:methods; D001164:Arteriovenous Fistula / Q000150:complications* / Q000000981:diagnostic imaging; D002648:Child; D004621:Embolization, Therapeutic / Q000379:methods*; D005781:Gelatin Sponge, Absorbable / Q000627:therapeutic use; D006490:Hemostatics / Q000627:therapeutic use; D006801:Humans; D008297:Male; D010413:Penis / Q000098:blood supply* / Q000000981:diagnostic imaging; D010502:Perineum / Q000000981:diagnostic imaging / Q000293:injuries*; D011317:Priapism / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D015641:Radiography, Interventional / Q000379:methods; D012861:Skating / Q000293:injuries*; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler
D006490:Hemostatics