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Embolotherapy of priapism
1Department of Urology, Sanjay Gandhi PGI of Medical Sciences, Lucknow, India.
Archivos Espanoles De Urologia
|July 1, 1992
Summary
Idiopathic priapism can stem from excessive penile arterial inflow. Percutaneous transcatheter embolization using autologous clot offers a successful treatment, preserving erectile function.
Area of Science:
- Urology
- Interventional Radiology
Background:
- Idiopathic priapism is a condition characterized by prolonged penile erection.
- Uncontrolled penile arterial inflow is a contributing factor in some priapism cases.
Observation:
- A 10-day-old infant presented with refractory priapism.
Findings:
- Percutaneous transcatheter embolization of the internal pudendal arteries was performed.
- Autologous clot was used for embolization, allowing for potential revascularization.
- The procedure successfully resolved the priapism and avoided impotence.
Implications:
- Transcatheter embolization is an effective treatment for refractory idiopathic priapism.
- Autologous clot embolization is a viable option that may preserve erectile function.
- Angiographic embolization provides a minimally invasive therapeutic approach for priapism.