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Post-surgical high-flow priapism treated by embolization.

Can Tuygun¹, Meltem Guvercinci, Isik Conkbayir

¹Department of Urology, S. B. Diskapi Yildirim Beyazit Training and Research Hospital, Ankara, Turkey. tuyguncan@yahoo.com

International Journal of Urology : Official Journal of the Japanese Urological Association

|November 27, 2007

Summary

This summary is machine-generated.

High-flow priapism, often from trauma, rarely follows urethral surgery. This case details successful treatment of post-surgical priapism with massive hemorrhage using autologous clot embolization.

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Area of Science:

Urology
Vascular Surgery

Background:

High-flow priapism typically results from perineal or penile trauma, presenting as prolonged, painless, semirigid erections.
It is an uncommon complication following transurethral surgery, often with atypical clinical presentations.

Observation:

A rare case of high-flow priapism developed after internal urethrotomy.
This was associated with massive urethral hemorrhage necessitating a blood transfusion.

Findings:

Autologous clot embolization was successfully employed to treat the high-flow priapism.
The treatment effectively resolved both the priapism and the associated massive urethral hemorrhage.

Implications:

This case highlights a rare but serious complication of internal urethrotomy.
Autologous clot embolization presents a viable treatment option for priapism with significant urethral bleeding post-surgery.