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[High flow priapism].

J L Ruiz Cerdá1, B Moreno Pardo, G Server Pastor

  • 1Servicio de Urología, Hospital La Fe, Valencia, España.

Archivos Espanoles De Urologia
|April 1, 1992
PubMed
Summary
This summary is machine-generated.

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High flow priapism cases were treated with embolization of the internal pudendal artery, achieving good long-term results. Spontaneous detumescence occurred in other cases, with no observed complications or erectile dysfunction.

Area of Science:

  • Urology
  • Vascular Surgery
  • Andrology

Background:

  • High flow priapism, often associated with trauma or psychotropic medication, presents a clinical challenge.
  • Standard treatments like alpha-agonists and surgical shunts can be ineffective for achieving detumescence.

Observation:

  • This study details four cases of high flow priapism.
  • Patient evaluation involved intracavernal blood-gasmetry, echo Doppler, and selective pudendal arteriography.
  • Eighty percent of patients had a history of trauma or were on psychotropic medications.

Findings:

  • Pharmacological and surgical shunt interventions failed to resolve priapism in the observed cases.
  • Embolization of the internal pudendal artery was successful in two patients, yielding positive long-term outcomes.

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  • Two cases resolved spontaneously, with no reported complications or secondary erectile dysfunction.

    • Implications:

    • Internal pudendal artery embolization represents a viable and effective treatment option for refractory high flow priapism.
    • Minimally invasive endovascular techniques may offer a favorable alternative to traditional surgical approaches.
    • Further research into the specific mechanisms and optimal management strategies for high flow priapism is warranted.