title: [Nonischemic Priapism Following Brachytherapy : A Case Report and a Review].
abstract: We report a case of nonischemic priapism following brachytherapy. A 63-year-old man presented 22 days after brachytherapy for prostate cancer. He suffered painless sustained incomplete erection for a few days. The patient was diagnosed with nonischemic priapism by cavernosal blood gas analysis. Right internal pudendal arteriography showed blood pooling in the cavernosum caused by arteriovenous fistula. Selective arterial embolization with gelatin sponge particles was performed and detumescence achieved. To our knowledge,this is the first case of high flow priapism caused by brachytherapy for prostate cancer. In addition,we reviewed the mechanism of high flow priapism.
authors.affiliation: The Departments of Urology, Osaka University Graduate School of Medicine.
authors.forename: Jumpei
authors.initials: J
authors.lastname: Oshima
authors.affiliation: The Departments of Urology, Osaka University Graduate School of Medicine.
authors.forename: Kazutoshi
authors.initials: K
authors.lastname: Fujita
authors.affiliation: The Departments of Radiology, Osaka University Graduate School of Medicine.
authors.forename: Kentaro
authors.initials: K
authors.lastname: Kishimoto
authors.affiliation: The Departments of Radiology, Osaka University Graduate School of Medicine.
authors.forename: Keigo
authors.initials: K
authors.lastname: Osuga
authors.affiliation: The Departments of Radiology, Osaka University Graduate School of Medicine.
authors.forename: Osamu
authors.initials: O
authors.lastname: Suzuki
authors.affiliation: The Departments of Urology, Osaka University Graduate School of Medicine.
authors.forename: Tetsuji
authors.initials: T
authors.lastname: Soda
authors.affiliation: The Departments of Urology, Osaka University Graduate School of Medicine.
authors.forename: Yasutomo
authors.initials: Y
authors.lastname: Nakai
authors.affiliation: The Departments of Urology, Osaka University Graduate School of Medicine.
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Kiuchi
authors.affiliation: The Departments of Urology, Osaka University Graduate School of Medicine.
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Takao
authors.affiliation: The Departments of Urology, Osaka University Graduate School of Medicine.
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Miyagawa
authors.affiliation: The Departments of Urology, Osaka University Graduate School of Medicine.
authors.forename: Akira
authors.initials: A
authors.lastname: Tsujimura
authors.affiliation: The Departments of Urology, Osaka University Graduate School of Medicine.
authors.forename: Norio
authors.initials: N
authors.lastname: Nonomura
mesh_terms: D000792:Angiography; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000628:therapy*; D001918:Brachytherapy / Q000009:adverse effects*; D004621:Embolization, Therapeutic; D006801:Humans; D008297:Male; D008875:Middle Aged; D011317:Priapism / Q000209:etiology*; D014057:Tomography, X-Ray Computed