High-flow Priapism in a Child After Perineal Trauma / 대한남성과학회지
Korean Journal of Andrology
;
: 161-164, 2008.
Article
in Korean
| WPRIM
| ID: wpr-134450
ABSTRACT
High flow priapism is a prolonged, non-painful penile erection unrelated to sexual stimulation after penile or perineal trauma. We report a case of high-flow priapism treated successfully with superselective embolization. An 8-year-old boy presented to our hospital 9 days after having been struck in the perineum during a bicycle accident. After the injury, the patient suffered a painless prolonged erection. High flow priapism was diagnosed by cavernosal blood gas analysis and penile duplex doppler ultrasonography. We identified the position of the fistula and pseudoaneurysm with angiography and embolized the lesions super-selectively with an autologous blood clot, gel foam, and a microcoil, bilaterally. After 2 superselective embolizations, the patient had detumescence. This case shows that bilateral arterio-cavernosal fistulas can be successfully treated with superselective arterial embolization.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Perineum
/
Priapism
/
Blood Gas Analysis
/
Penile Erection
/
Angiography
/
Aneurysm, False
/
Ultrasonography, Doppler, Duplex
/
Fistula
Limits:
Child
/
Humans
/
Male
Language:
Korean
Journal:
Korean Journal of Andrology
Year:
2008
Type:
Article
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