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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.
Objectives:
A case of traumatic high flow priapism that had been successfully treated by selective embolization of the internal pudendal artery is described.
Methods:
High flow priapism was diagnosed in a patient who presented with painless prolonged erection. He had fallen down from a horse twelve days before. The intracavernous blood gas analysis had arterial characteristics and erection did not subside with conservative management. Selective embolization of the internal pudendal artery was performed after visualization of an arteriocavernous fistula.
Results:
Priapism disappeared just after the procedure and sexual potency was preserved.
Conclusions:
Selective embolization of the internal pudendal artery is an appropriate treatment for traumatic high flow priapism.