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Juvenile posttraumatic high-flow priapism: current management dilemmas.
Jeffrey B Marotte1, James D Brooks, Daniel Sze
1Department of Urology, Stanford University School of Medicine, Stanford, CA 94305-5118, USA.
Journal of Pediatric Surgery
|April 27, 2005
Summary
High-flow priapism, a rare condition in young males caused by arterial injury, can be effectively treated. Superselective embolization using autologous blood clot offers a safe and successful therapeutic option.
Area of Science:
- Urology
- Pediatric Surgery
- Vascular Surgery
Background:
- High-flow priapism is a rare condition in pediatric and adolescent males, typically resulting from perineal trauma.
- It involves disruption of the intercavernosal artery, leading to an arteriocavernosal fistula.
- Clinical presentation includes a painless, prolonged erection post-trauma.
Observation:
- This study presents three cases of high-flow priapism in young males.
- The condition manifested as a painless, prolonged erection following perineal trauma.
Findings:
- Traditional treatments include watchful waiting or surgical vessel ligation.
- Internal pudendal arteriography followed by superselective embolization with autologous blood clot is a safe and effective treatment.
- This minimally invasive approach was successfully employed in the presented cases.
Implications:
- Superselective embolization represents a valuable, minimally invasive treatment option for high-flow priapism in young males.
- This technique avoids the morbidity associated with open surgical exploration.
- Further research into optimal management strategies for this rare condition is warranted.