High-flow priapism: diagnosis,treatment and long-term follow-up
- VernacularTitle:高流量性阴茎异常勃起
- Author:
Xiaodong LI
- Publication Type:Journal Article
- Keywords:
Priapism;
Embolization,therapeutic
- From:
Chinese Journal of Urology
2001;0(11):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the diagnosis and treatment of high-flow priapism. Methods Five cases of high-flow priapism (age range,18-54 years) were included.Their symptom was described as devoid of pain or tenderness, incompletely but constantly rigid of the penis which was able to increase rigidity with sexual stimulation.Blood taken from the corpora cavernosa showed an arterial blood sample in all the cases.Perineal color Doppler ultrasound findings included the presence of patent cavernous arteries and the focal area of high flow turbulence along the cavernous arteries in 4 cases.Contrast medium extravasating from a lacerated cavernous artery into surrounding erectile tissue lacunae was found when performing internal pudendal arteriography in all the cases.Initially,conservative therapy was attempted but was unsuccessful.Therefore superselective embolization of the proximal artery supplying arterial fistula was carried out in the 5 cases. Results After embolization the penile erection disappeared immediately.In 1 case,priapism recurred 12 h after the embolization and the second embolization was successful and the interval of complete detumescence was 5 to 42 d.The sexual function and erectile rigidity were normalized in 2 weeks to 4 months after embolization.The follow-up time was from 11 to 143 months.The sexual function was completely preserved in all the 5 cases with no recurrence of priapism. Conclusions Intracavernal blood gas analysis,color Doppler ultrasound and internal pudendal arteriography were effective means for the diagnosis of priapism.The effect of superselective embolization of the internal pudendal artery was satisfactory.
