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[A case of post-traumatic high flow priapism].
Mitsuhiro Tambo1, Masaya Ohta, Akihiro Murata
1Department of Urology, Kyorin University, School of Medicine.
Nihon Hinyokika Gakkai Zasshi. the Japanese Journal of Urology
|August 13, 2003
Summary
High flow priapism following perineal trauma was successfully treated with percutaneous embolization. This minimally invasive procedure restored erectile function in a 50-year-old man, offering a viable treatment option.
Area of Science:
- Urology
- Trauma Surgery
- Interventional Radiology
Background:
- High flow priapism is a rare condition often resulting from blunt perineal trauma.
- Conservative management with alpha-adrenergic agents may provide only temporary relief.
Observation:
- A 50-year-old male presented with high flow priapism after sustaining blunt perineal trauma.
- Diagnostic evaluations included intracavernal blood-gasometry, cavernography, Doppler sonography, and arteriography.
Findings:
- Percutaneous embolization of the left internal pudendal artery using autologous blood clot and Gelatin proved effective.
- The patient's erectile function recovered three months post-embolization.
Implications:
- Percutaneous embolization represents a successful and potentially function-preserving treatment for high flow priapism.
- This case highlights the importance of advanced imaging and interventional techniques in managing complex traumatic genitourinary injuries.