Two Cases of Post-Traumatic Arterial High-Flow Priapism / 대한남성과학회지

ABSTRACT

type presents as a prolonged painful erection and is characterized by ischemia and pooling of blood within the corpora cavernosa. The less common form, high-flow priapism, is characterized by absence of pain and ischemia. We report two cases of high-flow priapism caused by rupture of the cavernosal artery following blunt perineal trauma. The patients complained of painless and persistent penile erection. By trauma history, cavernosal blood gas analysis, and color Doppler sonography, arterial high-flow priapism was confirmed, In both cases, left cavernosal artery leakage was revealed by internal pudendal selective angiography. The cavernosal artery was embolized with coils in both patients, and penile detumescence was achieved.