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Related Experiment Videos

[Delayed posttraumatic high flow priapism: a case report].

Y Suzuki1, Y Kondo, Y Hasimoto

  • 1Department of Urology, Nippon Medical School.

Hinyokika Kiyo. Acta Urologica Japonica
|June 9, 2000
PubMed
Summary
This summary is machine-generated.

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Persistent erection, known as priapism, can occur after urethral injury. This case study shows selective arterial embolization effectively treated high-flow priapism following catheterization, restoring normal erectile function.

Area of Science:

  • Urology
  • Vascular Surgery
  • Radiology

Background:

  • Priapism, a persistent erection, can result from various causes, including trauma.
  • Urethral injury from instrumentation, such as prolonged catheterization, may lead to vascular complications.
  • High-flow priapism is characterized by continuous arterial inflow into the corpora cavernosa.

Observation:

  • A young male presented with persistent erection after a urethral balloon catheter was removed following skateboard-induced injury.
  • Diagnostic studies, including intracavernous blood gas analysis and color Doppler ultrasound, suggested high-flow priapism.
  • Selective internal pudendal arteriography identified a contrast medium leak at the penile base.

Findings:

  • Selective embolization of the bilateral internal pudendal arteries using gelatin sponges was performed.

Related Experiment Videos

  • The procedure successfully achieved detumescence, resolving the persistent erection.
  • Nocturnal penile tumescence testing confirmed normal erectile function three months post-treatment.
  • Implications:

    • Selective arterial embolization is a viable and effective treatment for high-flow priapism secondary to penile trauma and vascular injury.
    • This minimally invasive approach can rapidly resolve priapism and preserve subsequent erectile function.
    • Early diagnosis and targeted interventional radiology are crucial for managing traumatic priapism effectively.