Related Experiment Videos
Conservative management of high-flow priapism
1Division of Urology (Department of Surgery), Cook County Hospital, Chicago, IL 60612, USA.
Urology
|September 1, 1995
Summary
Traumatic high-flow priapism, often from penile trauma, can be successfully managed conservatively. Noninvasive imaging and embolization preserve erectile function, avoiding surgery.
Area of Science:
- Urology
- Vascular Surgery
- Radiology
Background:
- High-flow priapism typically results from penile trauma, causing abnormal arterial blood flow into the corpora cavernosa.
- Understanding the pathophysiology enables selective treatment, often preserving erectile function.
Observation:
- Four cases of traumatic high-flow priapism were treated over five years.
- Conservative management included observation after arteriography or percutaneous autologous clot embolization.
- Color duplex ultrasonography was crucial for noninvasive diagnosis and follow-up.
Findings:
- Successful conservative management was achieved in all patients, with brief hospitalizations (0-2 days).
- No surgical repair was necessary.
- Percutaneous autologous clot embolization was effective when selective embolization was not feasible.
- Long-term follow-up (1-4 years) showed a return to pre-injury erectile function.
Implications:
- Conservative treatment, including embolization guided by ultrasonography, is effective for high-flow priapism.
- Noninvasive diagnostic and therapeutic modalities can avoid surgery and preserve potency.
- This approach offers a minimally invasive option for managing penile trauma complications.