Post-traumatic pre-pubertal high-flow priapism: bilateral superselective embolisation

J Med Imaging Radiat Oncol. 2011 Oct;55(5):498-501. doi: 10.1111/j.1754-9485.2011.02300.x.

Abstract

High-flow priapism is uncommon particularly in children. While it is a non-emergent condition, delayed management may result in secondary vascular deformities. Embolisation is not commonly offered as first-line management because of the risk of potentially severe ramifications regarding sexual function, particularly with cases of bilateral penile arteriolacunar fistulae. We demonstrate successful application of superselective embolisation technique using absorbable material with no long-term adverse effect on erectile function.

Publication types

  • Case Reports

MeSH terms

  • Angiography, Digital Subtraction / methods
  • Arteriovenous Fistula / complications*
  • Arteriovenous Fistula / diagnostic imaging
  • Child
  • Embolization, Therapeutic / methods*
  • Gelatin Sponge, Absorbable / therapeutic use
  • Hemostatics / therapeutic use
  • Humans
  • Male
  • Penis / blood supply*
  • Penis / diagnostic imaging
  • Perineum / diagnostic imaging
  • Perineum / injuries*
  • Priapism / diagnostic imaging
  • Priapism / etiology
  • Priapism / therapy*
  • Radiography, Interventional / methods
  • Skating / injuries*
  • Treatment Outcome
  • Ultrasonography, Doppler

Substances

  • Hemostatics