A 48-year-old man, who previously had normal erectile function, visited our hospital complaining of a painless erection that had persisted for 6 days. He had suffered perineal trauma in a traffic accident 9 days earlier. A diagnosis of post-traumatic high-flow priapism was suggested from the findings on penile blood gas analysis. Selective internal pudendal arteriography showed an arterial blush along the bilateral cavernous arteries. Subsequently, embolization of a cavernous fistula was performed with an autologous clot. However, the embolus was removed within a minute, so the procedure was repeated with Gelfoam. This patient had normal erectile function after 11 months, with no recurrence of priapism.
Download full-text PDF |
Source |
|---|
Publication Analysis
Top Keywords
Similar Publications
Treatment of Refractory Idiopathic Ischemic Priapism: A Case Report and Literature Review.
Cureus
June 2024
Family Medicine, Mount Sinai Hospital, Chicago, USA.
Priapism is a medical condition characterized by a prolonged period of penile rigidity in the absence of external sexual stimulation. Three broad categories exist for this condition: ischemic (low venous flow), nonischemic (high arterial flow), and recurrent (stuttering). Ischemic priapism is a urological emergency necessitating immediate medical attention.
View Article and Find Full Text PDFInterventional radiology: Diagnosis and treatment of post-traumatic nonischemic priapism: A case report.
Radiol Case Rep
August 2024
Central Military Hospital, Ain Naadja, 16205, Algiers, Algeria.
Priapism is defined as a form of erectile dysfunction characterized by a prolonged and involuntary penile erection, either partial or complete, occurring without sexual stimulation and lasting for more than 4 hours. Its incidence is estimated to be 0.5-0.
View Article and Find Full Text PDFTrends and outcomes of hospitalized patients with priapism in Germany: results from the GRAND study.
Int J Impot Res
May 2024
Department of Urology, University Hospital, LMU, Munich, Germany.
Article Synopsis
- The study analyzed in-hospital outcomes and trends for patients with low-flow and high-flow priapism using data from Germany's nationwide inpatient records between 2008-2021.
- It included a total of 6,588 low-flow and 729 high-flow priapism cases, revealing an increase in low-flow cases requiring hospitalization and a decline in high-flow cases over recent years.
- The findings indicated that 22.4% of low-flow patients required shunt surgery, especially among those with sickle cell disease, while high-flow cases were primarily managed conservatively, showing no significant differences in hospital stay or complications related to treatment.
Successful Endovascular Microembolization for Post-Traumatic High-Flow Priapism: A Case Report.
Am J Case Rep
May 2024
Department of General, Vascular, Endocrine and Transplant Surgery, Medical University of Warsaw, Warsaw, Poland.
BACKGROUND High-flow (non-ischemic) priapism is a rare urological condition usually related to blind trauma to the penis or perineum causing an arterial-lacunar fistula. It can be treated conservatively, but in some cases when conservative treatment fails, the interventional approach is indicated. In the past, only surgical treatment was available, which was associated with a significant risk of complications.
View Article and Find Full Text PDFSuccessful Management of Recurrent High-Flow Priapism Treated with Selective Arterial Embolization: A Case Report.
J Radiol Case Rep
November 2023
Department of Radiology, Faculty of Medicine, Universitas Brawijaya, Dr. Saiful Anwar General Hospital, Indonesia.
Introduction: High-flow priapism is rare, uncontrolled arterial inflow, preceded by penile or perineal trauma and arterial-lacunar fistula. There are several ways to treat high-flow priapism, i.e.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!