Successful treatment of high-flow priapism by selective arteriographic embolization of the pudendal artery.
- Author:
Yong-ping ZHAO
1
;
Li-jie FU
;
Jia-pei YAO
;
Zheng-lian ZHOU
;
Jian-ping LIU
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Angiography; Arteries; Embolization, Therapeutic; Humans; Male; Penis; blood supply; Priapism; diagnostic imaging; therapy
- From: National Journal of Andrology 2005;11(3):210-212
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo evaluate the diagnosis and treatment of high-flow priapism (HFP).
METHODSFour cases of HFP following blunt trauma to the penis or perinea underwent diagnostic examination by colour-flow Doppler ultrasound and/or superselective pudendal arteriography, which revealed bilateral arteriocorporal fistula in 1 case and monolateral in the other 3. Penile detumescence was obtained in 2 cases by superselective bilateral/monolateral arteriographic embolization of the pudendal artery with absorbable gelatin
RESULTSThe former 2 cases effected an immediate recovery of the sponge, while the other 2 cases received conservative treatment. Erectile function, able to perform normal sexual intercourse in approximately 2 months. But in the latter 2, follow-up revealed unsatisfactory potency.
CONCLUSIONSuperselective arteriographic embolization with absorbable gelatin sponge can provide a safe, selective and effective treatment for HFP patients.
