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Related Experiment Videos

Post-traumatic priapism treated with selective cavernosal artery ligation

R H Shapiro1, R E Berger

  • 1Department of Urology, University of Washington Medical Center, Seattle, USA.

Urology
|April 1, 1997
PubMed
Summary
This summary is machine-generated.

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Post-traumatic high-flow priapism cases were treated with surgical ligation of arteriovenous fistulas. This operative management offers a safe and effective alternative to embolization for penile trauma recovery.

Area of Science:

  • Urology
  • Vascular Surgery
  • Trauma Surgery

Background:

  • High-flow priapism is a rare complication following penile blunt trauma.
  • Arteriocorporal fistulas are the primary cause of this condition.

Observation:

  • Two patients with post-traumatic high-flow priapism were diagnosed using color-flow Doppler ultrasound and arteriography.
  • Angiographic embolization was unsuccessful due to inability to catheterize the feeding artery.

Findings:

  • Surgical ligation of the arteriovenous fistula, guided by intraoperative ultrasound, provided definitive treatment.
  • Both extracorporeal and transcorporal surgical approaches were discussed.
  • Transcorporal dissection may be suitable for prolonged arterial priapism with a pseudocapsule.

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Implications:

  • Surgical arterial ligation is a safe, selective, and effective treatment for high-flow priapism.
  • Intraoperative ultrasound is valuable for guiding surgical fistula management.
  • Understanding surgical approaches aids in managing complex penile trauma cases.