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Autologous blood clot embolisation in posttraumatic high-flow priapism
Suha Akpinar1,2, Güliz Yilmaz3,2
1Data collection or processing, Department of Radiology, Near East University, Faculty of Medicine, Lefkoşa, Mersin, Turkey.
Scottish Medical Journal
|November 28, 2015
Summary
This study shows autologous blood clot embolisation is a safe and effective treatment for non-ischemic, high-flow priapism caused by trauma. Follow-up confirmed full recovery and normal erectile function.
Area of Science:
- Urology
- Interventional Radiology
Background:
- Non-ischemic, high-flow priapism, often resulting from perineal trauma, presents as a persistent, painless erection.
- Selective transarterial embolisation is a recognized treatment modality for this condition.
Observation:
- An 18-year-old male presented with priapism following blunt perineal trauma.
- Color Doppler ultrasound identified a pseudoaneurysm and fistula in the left cavernosal artery.
Findings:
- Initial autologous blood clot injection to embolise the pseudoaneurysm was followed by a second procedure due to recanalization.
- Post-embolisation imaging demonstrated pseudoaneurysm shrinkage and eventual complete thrombus formation.
- The patient experienced full recovery from priapism with normal erectile function at six months and one year follow-up.
Implications:
- Autologous blood clot embolisation presents a safe and successful therapeutic option for traumatic non-ischemic, high-flow priapism.
- This minimally invasive technique offers a viable alternative for managing complex vascular injuries leading to priapism.
- Successful outcomes highlight the potential of targeted embolisation in restoring normal physiological function.
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