High Flow Priapism After Blunt Perineal Trauma: Superselective Embolization of an Arteriocavernous Fistula
Article published in Urologia Polska 2008/61/1.

authors

Frank G. E. Perabo, Kai Wilhelm, Hans Schild, Stefan C. Müller: Department of Urology and Radiology, University of Bonn, Germany

keywords

priapism, trauma, arteriocavernous fistula, embolization

summary

Nonischemic arterial high flow priapism caused by traumatic arteriocavernous fistula is rare. We report a case of a lacerated branch of the

left cavernous artery after sustaining a straddle-trauma to the perineum, which was confirmed by selective arteriography and treated with

superselective embolization using absorbable gelatine sponge. At follow up 3 and 6 months later, erectile function had returned to normal.

Our case demonstrates that superselective embolization of an arteriocavernous fistula is a safe and effective therapy for arterial priapism.

references

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correspondence