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Related Experiment Videos

Post traumatic prepubertal high-flow priapism: a rare occurrence.

Eric Chung1, John McKnight, Bruce Hosken

  • 1Department of Urology, Royal Newcastle Center, Newcastle, NSW 2500, Australia. ericchg@hotmail.com

Pediatric Surgery International
|May 16, 2007
PubMed
Summary
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High-flow priapism, a rare condition from penile trauma, can be treated with angiography and embolization. This case shows successful treatment in an 11-year-old boy, restoring normal erections.

Area of Science:

  • Urology
  • Pediatric Surgery
  • Radiology

Background:

  • High-flow priapism is an uncommon condition often resulting from perineal or penile trauma.
  • It is characterized by a persistent, painless erection of the corpora cavernosa with a flaccid corpus spongiosum.

Observation:

  • An 11-year-old boy presented with a 3-day history of painless, semi-rigid erection after a blunt skateboard injury to the perineum.
  • Conservative treatment failed to resolve the priapism.

Findings:

  • The patient underwent bilateral internal pudendal angiography, which identified the site of injury.
  • Super-selective embolization of the internal pudendal artery was performed.
  • Follow-up at 1 month revealed the patient had regained normal nocturnal and reflexogenic erections.

Related Experiment Videos

Implications:

  • Pelvic angiography and super-selective embolization of the internal pudendal artery represent the current standard of care for high-flow priapism.
  • This minimally invasive approach can be effective in pediatric cases, leading to successful outcomes.
  • Understanding treatment options is crucial for managing this rare but potentially impactful condition in children.