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[Post-traumatic priapism in a 10-year-old boy]

H Sperling1, M Goepel, G Lümmen

  • 1Urologische Klinik und Poliklinik der Universität Essen.

Der Urologe. Ausg. A
|March 1, 1997
PubMed
Summary

This case study presents a 10-year-old boy with priapism following perineal trauma. Treatment involved angiography and embolization, highlighting effective interdisciplinary care for juvenile high-flow priapism.

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Area of Science:

  • Urology
  • Pediatric Surgery
  • Radiology

Background:

  • Priapism, a prolonged erection, can occur after trauma.
  • Juvenile high-flow priapism requires prompt diagnosis and management.
  • Perineal trauma is a potential cause of post-traumatic priapism in children.

Observation:

  • A 10-year-old boy presented with priapism after sustaining perineal trauma.
  • Color duplex sonography was utilized for diagnostic assessment.
  • Angiography revealed arteriovenous fistula consistent with high-flow priapism.

Findings:

  • Selective catheter embolization successfully treated the juvenile high-flow priapism.
  • Interdisciplinary collaboration between urology, radiology, and surgery was crucial.
  • The diagnostic utility of color duplex sonography in pediatric priapism was confirmed.

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Implications:

  • This case demonstrates a minimally invasive treatment option for pediatric high-flow priapism.
  • Early diagnosis and intervention can prevent long-term complications.
  • Color duplex sonography is a valuable tool for evaluating traumatic priapism in children.