title: [Postraumatic high-flow priapism in pediatric patient treated with selective arterial embolization].
abstract: Arterial priapism is a rare condition in pediatric patients, caused by a fistula between the cavernous artery and the sinusoids of the corpus cavernosum, usually secondary to perineal trauma. We report the case of a 16 year old child with arterial priapism of 5 days duration following a fall astride, successfully treated by superselective arterial embolization with absorbable material. Six months later the patient had complete detumescence without secondary erectile dysfunction. Arterial embolization in pediatric patients is complex due to the smaller arterial size and the need to control the contralateral internal pudendal artery to prevent the development of complications. The use of absorbable material helps reduce the risk of subsequent erectile dysfunction and, although it has a higher rate of recurrence, is an alternative for the treatment of this pathology.
authors.affiliation: Servicio de Urología, Hospital Universitario de Fuenlabrada.
authors.forename: Roberto
authors.initials: R
authors.lastname: Molina Escudero
authors.affiliation: Servicio de Radiología Vascular Intervencionista, Hospital Universitario de Fuenlabrada.
authors.forename: José
authors.initials: J
authors.lastname: Hernández Atance
authors.affiliation: Servicio de Pediatría, Hospital Universitario de Fuenlabrada.
authors.forename: María del Mar
authors.initials: Mdel M
authors.lastname: Ballesteros García
authors.affiliation: Servicio de Urología, Hospital Universitario de Fuenlabrada.
authors.forename: Álvaro
authors.initials: Á
authors.lastname: Páez Borda
mesh_terms: D000293:Adolescent; D003663:Decision Trees; D004621:Embolization, Therapeutic / Q000379:methods*; D006801:Humans; D008297:Male; D011317:Priapism / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy*; D012039:Regional Blood Flow; D012611:Scrotum / Q000293:injuries*; D014949:Wounds, Nonpenetrating / Q000150:complications*