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[High-flow priapism]

J J López-Tello García1, L Martínez-Piñeiro, J Robles

  • 1Servicio de Urología, Hospital La Paz, Facultad de Medicina, Universidad Autónoma, Madrid, España.

Archivos Espanoles De Urologia
|May 1, 1995
PubMed
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Selective embolization of the internal pudendal artery effectively treated traumatic high flow priapism. This interventional radiology technique resolved prolonged erections and preserved sexual function in a case study.

Area of Science:

  • Interventional Radiology
  • Urology
  • Vascular Surgery

Background:

  • Traumatic high flow priapism is a rare condition often resulting from penile trauma.
  • Delayed treatment can lead to erectile dysfunction and psychological distress.

Observation:

  • A patient presented with a 12-day history of painless, prolonged erection following a horse-riding fall.
  • Intracavernous blood gas analysis confirmed arterial characteristics, and conservative management failed.
  • Arteriovenous fistula was identified as the cause of the high flow priapism.

Findings:

  • Selective embolization of the internal pudendal artery successfully occluded the arteriovenous fistula.
  • Priapism resolved immediately post-procedure.
  • Sexual potency was maintained after treatment.

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Implications:

  • Selective embolization is a viable and effective treatment for traumatic high flow priapism.
  • This minimally invasive approach offers a rapid solution with preserved sexual function.
  • Highlights the importance of prompt diagnosis and endovascular intervention in managing priapism.