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Microcoil embolization in post-traumatic high-flow priapism.

Davinder S Chadha¹, B Sivaramakrishna, Vikas Rastogi

¹Division of Cardiology, Command Hospital, Bangalore, Karnataka, India. agiamu@gmail.com

The Journal of Invasive Cardiology

|June 8, 2011

Summary

This summary is machine-generated.

Transarterial embolization effectively treated high-flow priapism in an 18-year-old male following perineal trauma. This minimally invasive procedure resolved the arteriovenous fistula, restoring normal erectile function.

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Area of Science:

Urology
Interventional Radiology
Vascular Surgery

Background:

Post-traumatic priapism is a rare but serious complication of perineal trauma.
High-flow priapism often results from an arteriovenous fistula (AVF) involving the internal pudendal artery.

Observation:

An 18-year-old male presented with high-flow priapism after blunt perineal trauma.
Color Doppler ultrasound and selective arteriography confirmed an AVF originating from the left internal iliac artery branches.

Findings:

Transarterial embolization using microcoils successfully occluded the AVF.
Immediate improvement in detumescence and fistula closure were observed post-embolization.
Normal erectile function was maintained at 6 and 12-week follow-ups.

Implications:

Transarterial embolization is a safe and effective treatment for high-flow priapism.
This minimally invasive approach offers a viable alternative to surgical intervention.
Prompt management can preserve erectile function in patients with post-traumatic priapism.