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Superselective embolization in posttraumatic priapism with glubran 2 acrylic glue
Roberto Gandini1, Alessio Spinelli, Daniel Konda
1Department of Diagnostic Imaging and Interventional Radiology, University of "Tor Vergata", V.le Oxford 81, 00133 Rome, Italy.
Cardiovascular and Interventional Radiology
|September 24, 2004
Summary
Transcatheter embolization effectively treated posttraumatic priapism in two patients. Initial microcoil embolization failed, but acrylic glue embolization successfully resolved the arteriovenous fistula and restored sexual function.
Area of Science:
- Urology
- Vascular Surgery
- Interventional Radiology
Background:
- Posttraumatic priapism is a rare condition often resulting from penile trauma and arteriovenous fistula formation.
- Transcatheter embolization is a minimally invasive treatment option for managing arteriovenous fistulas.
- Microcoil embolization is a common technique used in transcatheter embolization procedures.
Observation:
- Two patients with posttraumatic priapism underwent initial transcatheter embolization using microcoils.
- Temporary penile detumescence and apparent resolution of the arteriovenous fistula were observed post-procedure.
- Priapism recurred in both patients approximately 24 hours after the initial microcoil embolization.
Findings:
- Selective transcatheter embolization of the arteriovenous fistula nidus using acrylic glue (Glubran 2) was performed.
- This second embolization procedure successfully treated the priapism in both cases.
- Complete recovery of sexual activity was achieved within 30 days for both patients.
Implications:
- Acrylic glue embolization is a viable and effective treatment for recurrent posttraumatic priapism after initial microcoil failure.
- Transcatheter embolization offers a minimally invasive approach to managing complex arteriovenous fistulas causing priapism.
- Persistent exclusion of the arteriovenous fistula was confirmed at a 12-month follow-up, suggesting long-term efficacy.