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Vessel-sparing Excision and Primary Anastomosis

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Posttraumatic high-flow priapism: treatment with selective embolisation.

K R Shankar¹, S Babar, P Rowlands

¹Department of Paediatric Surgery, Alder Hey Children's Hospital, Liverpool, UK.

Pediatric Surgery International

|August 24, 2000

Summary

This summary is machine-generated.

Priapism in children is rare, often linked to sickle-cell disease. This study highlights a unique case of post-traumatic arterial priapism successfully treated with embolization.

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Area of Science:

Pediatric Urology
Vascular Surgery
Emergency Medicine

Background:

Priapism, prolonged penile erection, is uncommon in children.
Most pediatric cases involve sickle-cell disease or leukemia, presenting as 'low-flow' priapism due to venous obstruction.
A subset of cases results from arterial issues, often post-traumatic.

Observation:

A case of a child presenting with priapism following direct trauma is described.
This specific presentation was identified as arterial priapism, characterized by uncontrolled arterial inflow.
The condition was successfully managed using a minimally invasive interventional radiology technique.

Findings:

Selective embolization of the internal pudendal artery effectively treated the post-traumatic arterial priapism.
This intervention resolved the abnormal arterial inflow causing the prolonged erection.
The child experienced a positive outcome following the procedure.

Implications:

Recognizing post-traumatic arterial priapism in children is crucial for appropriate management.
Selective arterial embolization offers a viable and effective treatment option for this condition.
Prompt and correct treatment of arterial priapism in pediatric patients leads to a favorable prognosis.