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Post-traumatic high flow priapism percutaneously treated with transcatheter embolisation
Stefano Pieri1, Paolo Agresti, Giuseppe La Pera
1U.O. di Radiologia Vascolare ed Interventistica, Azienda Ospedaliera S. Camillo-Forlanini, Rome, Italy. stepieri@excite.it
La Radiologia Medica
|November 18, 2005
Summary
Transcatheter arterial embolisation effectively treats high-flow priapism by selectively blocking the artery causing the fistula. This minimally invasive procedure offers rapid detumescence, though careful follow-up is crucial for optimal outcomes.
Area of Science:
- Urology
- Interventional Radiology
Background:
- High-flow priapism is a rare condition often resulting from acute trauma.
- It involves an abnormal connection between arteries and erectile tissue, leading to persistent erection.
Purpose of the Study:
- To present experience with percutaneous management of high-flow priapism.
- To evaluate transcatheter embolisation using gelfoam as a treatment option.
Main Methods:
- Three cases of high-flow priapism following trauma were treated.
- Arteriography identified arterial-lacunar fistulas.
- Embolisation was performed using gelfoam via transcatheter approach.
Main Results:
- Immediate detumescence was observed post-embolisation.
- Clinical and instrumental follow-up confirmed the success of the procedure.
Conclusions:
- Transcatheter arterial embolisation is the preferred treatment for high-flow priapism.
- Ultra-selective embolisation of the pudendal artery is key.
- Technical challenges exist, necessitating experienced operators and rigorous follow-up.