Related Experiment Videos
Bilateral superselective arterial microcoil embolization in post-traumatic high-flow priapism: a case report
Yung-Chin Lee1, Jung-Tsung Shen, Ming-Chen Shih
1Department of Urology, Kaohsiung Medical University, Kaohsiung, Taiwan.
The Kaohsiung Journal of Medical Sciences
|May 20, 2003
Summary
High-flow priapism from bilateral arterial injury was successfully treated with embolization. This minimally invasive procedure resolved the condition while preserving erectile function.
Area of Science:
- Urology
- Vascular Surgery
- Radiology
Background:
- High-flow priapism, often resulting from genitoperineal trauma, involves damage to penile arteries, creating arteriovenous fistulas and pseudoaneurysms.
- Bilateral cavernosal artery involvement is rare but can lead to complex priapism cases.
Observation:
- A case of high-flow priapism secondary to a traumatic pseudoaneurysm originating from bilateral cavernosal arteries is presented.
- Diagnostic methods included cavernosal blood gas analysis, color Doppler ultrasonography, and superselective angiography.
Findings:
- Superselective arterial embolization using metallic microcoils effectively treated the bilateral arteriocavernosal fistulae and pseudoaneurysm.
- The treatment resulted in immediate detumescence without complications and preserved the patient's erectile function.
Implications:
- Superselective arterial embolization is a viable and effective treatment for bilateral high-flow priapism caused by traumatic pseudoaneurysms.
- This case underscores the importance of recognizing and managing penile trauma that can lead to high-flow priapism, emphasizing the need for patient awareness.