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Interventional treatment of traumatic priapism
Johannes Görich1, Cengiz Ermis, Stefan C Krämer
1Department of Radiology, University of Ulm, Germany. johannes.goerich@medizin.uni-ulm.de
Purpose:
To describe the effectiveness of transarterial embolization of traumatic priapism.
Methods:
Six patients ranging in age from 6 to 37 years with traumatic high-flow priapism underwent superselective embolization with gelatin sponges (n=3) or minicoils (n=3). Embolization was repeated up to 3 times.
Results:
Embolization was successful in all cases. In 2 patients, repeated embolization led to a flow reduction in the fistula, which spontaneously occluded a few days later. All patients experienced normal erections after intervention, and no side effects were observed.
Conclusions:
Transarterial superselective embolization is an effective and well-tolerated therapy in patients with traumatic priapism.