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Related Experiment Videos

Erectile dysfunction and priapism.

Derek J Bochinski1, Robert C Dean, Tom F Lue

  • 1University of Alberta, Canada.

Nature Clinical Practice. Urology
|February 14, 2006
PubMed
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A ruptured helicine artery caused non-ischemic priapism and erectile dysfunction in a patient. Surgical repair involving artery ligation and pseudocapsule imbrication resolved the condition.

Area of Science:

  • Urology
  • Andrology
  • Vascular Surgery

Background:

  • A 46-year-old male presented with persistent erectile dysfunction (ED) one year after blunt perineal trauma.
  • Standard phosphodiesterase type 5 inhibitor treatment proved ineffective.
  • Physical examination revealed perineal tenderness and penile fullness.

Observation:

  • Color duplex ultrasound identified a ruptured left helicine artery.
  • The patient experienced intermittent penile turgidity consistent with non-ischemic priapism.
  • Erectile dysfunction was directly linked to the vascular anomaly.

Findings:

  • Surgical intervention included open suture ligation of the ruptured helicine artery.
  • Imbrication of the penile pseudocapsule was performed concurrently.

Related Experiment Videos

  • The procedure aimed to restore normal penile hemodynamics and erectile function.

    • Implications:

    • This case highlights a rare cause of ED secondary to vascular injury.
    • Surgical management of traumatic helicine artery rupture can effectively treat non-ischemic priapism and ED.
    • Successful surgical outcome underscores the importance of targeted vascular repair in complex penile trauma.