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Bilateral superselective arterial microcoil embolisation in delayed post-traumatic high flow priapism
S Gujral1, R P MacDonagh, P M Cavanagh
1Taunton and Somerset Hospital NHS Trust, Musgrove Park, Taunton, Somerset, UK. ssguj@aol.com
Postgraduate Medical Journal
|February 27, 2001
Summary
High flow priapism, often linked to genitoperineal trauma, was successfully treated with microcoil embolization. This minimally invasive procedure resolved prolonged erections without complications, preserving normal erectile function.
Area of Science:
- Urology
- Vascular Surgery
- Radiology
Background:
- High flow arteriogenic priapism is a rare condition, typically resulting from genitoperineal trauma.
- It is characterized by prolonged, often painless, erections.
- Delayed onset is common.
Observation:
- Arteriography revealed bilateral arteriocavernosal fistulae and pseudoaneurysms as the cause.
- The patient presented with prolonged erection following trauma.
Findings:
- Staged, bilateral superselective metallic microcoil embolization was performed.
- The procedure led to prompt detumescence (resolution of erection).
- No complications were observed post-embolization.
Implications:
- Metallic coil embolization is an effective treatment for high flow priapism.
- The treatment preserved normal erectile function six months post-procedure.
- Concerns regarding erectile dysfunction from bilateral metallic coils appear unfounded in this case.