Advances in the diagnosis and treatment of high-flow priapism

VernacularTitle:高流量型阴茎异常勃起的诊断和治疗进展
Author: Jiahao WEN ¹ ; Xin LI ; Chunmin LI
Author Information

1. 首都医科大学附属北京朝阳医院血管外科，北京　100020
Publication Type:Journal Article
Keywords: High-flow priapism; Priapism; Diagnose; Therapeutics
From: Chinese Journal of Urology 2024;45(12):960-963
CountryChina
Language:Chinese
Abstract: High-flow priapism (HFP)is a rare type of priapism, mainly including traumatic HFP, neurogenic HFP and post-shunting HFP, of which the traumatic is the main type of HFP. The etiology of HFP is mainly related to various kinds of injuries such as trauma and spinal cord injury, and its pathogenesis is arterio-cavernosal fistula formation. Because HFP does not lead to ischemia and hypoxia, conservative treatment is preferred. Interventional embolization should be performed promptly when conservative treatment is ineffective. Surgical treatment should be performed when conservative treatment is ineffective or repeated interventional embolization fails to relieve symptoms. Patients with HFP generally have a better prognosis, and most of them can preserve erectile function.