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[A case of traumatic priapism].
T Goto1, A Noguchi, Y Hamamoto
1Department of Urology, Gifu Prefectural Hospital.
Hinyokika Kiyo. Acta Urologica Japonica
|February 24, 2001
Summary
High flow priapism caused by perineal trauma can be effectively treated with superselective embolization. This minimally invasive procedure restored normal erectile function and sexual activity in a patient within six months.
Area of Science:
- Urology
- Vascular Surgery
- Trauma Surgery
Background:
- High flow priapism is a rare condition often resulting from perineal trauma leading to arteriovenous fistulas.
- Prompt diagnosis and effective treatment are crucial for preserving sexual function.
Observation:
- A 43-year-old male patient presented with high flow priapism following perineal trauma.
- Diagnosis was confirmed using cavernous blood gasometry and color Doppler ultrasonography.
Findings:
- Superselective embolization of the deep artery of the penis was successfully performed.
- The patient experienced a complete recovery of erection and sexual function six months post-procedure.
Implications:
- Superselective embolization is a safe and effective treatment option for high flow priapism secondary to arteriovenous fistulas.
- This approach offers a minimally invasive solution with excellent functional outcomes.