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Selective arterial embolization for post-traumatic high flow priapism
N F Logarakis1, M E Simons, M Hassouna
1Division of Urology, The Toronto Hospital, University of Toronto, Toronto, Ontario, Canada.
The Canadian Journal of Urology
|December 16, 2000
Abstract:
We report on a 23 year old patient with high flow priapism following blunt perineal trauma in which arterial-cavernosal fistula was missed by penile Doppler ultrasonography but was successfully localized by arteriography and embolized using Gelfoam pledgets. Detumescence was complete in 2 days and sexual function returned to the premorbid state after 4 weeks. The diagnosis, pathophysiology, and treatment of high flow priapism and review of the literature are discussed.