High Flow Priapism After Blunt Perineal Trauma: Superselective Embolization of an Arteriocavernous
Fistula Article published in Urologia Polska 2008/61/1.
authors
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Frank G. E. Perabo, Kai Wilhelm, Hans Schild, Stefan C. Müller
- Department of Urology and Radiology, University of Bonn, Germany
keywords
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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
- Bastuba MD, Tejada IS, Dinlenc CZ et al: Arterial priapism: Diagnosis, treatment and long term follow up. J Urol 1994, 151, 1231-1237.
- Parascani R, Palleschi G, Bova G et al: Arteriovenous intracavernous post-traumatic fistula: clinical management and treatment by superselective embolization. Urology 2004, 63, 380-382.
- Gorich J, Ermis C, Kramer SC et al: Interventional treatment of traumatic priapism. J Endovasc Ther 2002, 9, 614-617.
- Mizuno I, Fuse H, Junicho A, Kageyama M: An experience of percutaneous embolization to post-traumatic arterial priapism in a child. Int Urol Nephrol 2002, 32, 695-697.
- Langenhuijsen JF, Reisman Y, Reekers JA, de Reijke ThM: Highly selective embolization of bilateral cavernous arteries for post-traumatic penile arterial priapism. Int J Impot Res 2001, 13, 354-356.
- Fratezi AC, Martins VM, Pereira Porta RM et al: Endovascular therapy for priapism secondary to perineal trauma. J Trauma 2001, 50, 581-584.
- Logarakis NF, Simons ME, Hassouna M: Selective arterial embolization for post-traumatic high flow priapism. Can J Urol 2000, 7, 1051-1054.
- Mourikis D, Chatziioannou AN, Konstantinidis P et al: Superselective microcoil embolization of a traumatic pseudoaneurysm of the cavernosal artery. Urol Int 2000, 64, 220-222.
- Goto T, Yagi S, Matsuhita S et al: Diagnosis and treatment of Priapism: Experience with 5 cases. Urology 1999, 53, 1019-1023.
correspondence
Frank Perabo
Department of Urology
Rheinische Friedrich-Wilhelms – University of Bonn
Sigmund-Freud-Str. 25
53105 Bonn
Germany
Phone +49 228 287 141 80
perabo@lycos.com
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