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Posttraumatic arterial priapism in children: management with embolization
S F Miller1, P G Chait, P E Burrows
1Department of Diagnostic Imaging, Hospital for Sick Children, Toronto, Ontario, Canada.
Radiology
|July 1, 1995
Summary
Selective embolization effectively treats posttraumatic priapism in children. Color Doppler sonography aids in diagnosing the cause and planning treatment for this condition.
Area of Science:
- Pediatric Urology
- Interventional Radiology
- Vascular Surgery
Background:
- Posttraumatic priapism is a rare but serious complication in preadolescent boys.
- Prompt diagnosis and management are crucial to prevent long-term sequelae.
Purpose of the Study:
- To assess the efficacy of selective embolization for managing posttraumatic priapism in children.
- To evaluate the role of color Doppler sonography in diagnosing the underlying vascular lesion and guiding embolization.
Main Methods:
- Five preadolescent boys with posttraumatic priapism underwent selective angiography and embolization.
- Color Doppler sonography was utilized in the final three cases for lesion characterization.
Main Results:
- Angiography identified arteriovenous fistulas, pseudoaneurysms, or abnormal arterial flow as causative lesions.
- Successful embolization led to complete detumescence in all patients.
- Color Doppler sonography accurately localized and characterized the vascular abnormalities.
Conclusions:
- Selective angiography and embolization provide a safe and effective treatment for pediatric posttraumatic priapism.
- Color Doppler sonography is a valuable tool for pre-embolization assessment, improving diagnostic accuracy and potentially avoiding invasive procedures.