Korean Journal of Andrology  2002;20(2):106-109

High Flow Priapism Treated by Repeated Embolization.

Jung Hun LEE 1 ; Jong Wook LEE ; Kyu Hung HAN ; Jeong Man CHO ; Jeong Yoon KANG ; Sung Bum CHO ; Jeong Yun JEONG

Affiliations

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Keywords

Priapism

Country

Republic of Korea

Language

Korean

Abstract

We describe a case of priapism after perineal blunt trauma in a 32-year old man who complained of painless and persistent erection. We confirmed high-flow priapism by cavernosal blood gas analysis, Doppler ultrasonography, and arteriography. A pseudoaneurysm was blocked by selective carvernosal artery embolization with autologous clot. Penile tumescence did not completely disappear during the following 4 weeks, and the patient complained of penile discomfort. Reembolization of the cavernosal artery with autologous clot was successful in reversing the erection. The patient has normal erectile status and no complaints during 30 months follow-up.