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[Spontaneous high flow arterial priapism of old males(one case report and review)]

Guli Mire1, Xiu-Zhe Dong, Zhong-Cheng Xin

  • 1Department of Urology, Friendship Hospital, Urumqi, Xinjiang 830001, China.

Zhonghua Nan Ke Xue = National Journal of Andrology
|August 23, 2003
PubMed

Insights

High-flow priapism in older men, often caused by corpus cavernosum disruption, is rare. Angiography and embolization can effectively treat this condition.

Area of Science:

  • Urology
  • Vascular Surgery

Background:

  • High-flow priapism is a rare condition characterized by prolonged penile erection.
  • Understanding the underlying causes, such as corpus cavernosum disruption, is crucial for effective treatment.

Observation:

  • A case of spontaneous idiopathic high-flow priapism in an elderly male was reported.
  • Clinical data revealed a right cavernosal artery disruption diagnosed via angiography.
  • Cavernosal blood gas analysis results were normal, indicating a non-ischemic event.

Findings:

  • Angiography identified a specific site of arterial disruption as the cause of priapism.
  • Gelatin embolization successfully treated the condition, leading to detumescence.
  • This case highlights the correlation between corpus cavernosum disruption and high-flow priapism.

Implications:

  • Spontaneous high-flow priapism in older adults is uncommon and requires specific diagnostic approaches.
  • When conservative measures fail, imaging like angiography is essential to locate the hemorrhage.
  • Vascular interventions such as gelatin embolization or cavernosal artery ligation are effective treatment options.
Abstract

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