Superselective embolization in posttraumatic high-flow priapism

Simarjeet Puri; John Swietlik; Orhan Ozkan; Mark Kleedehn

doi:10.1016/j.clinimag.2021.07.020

Superselective embolization in posttraumatic high-flow priapism

Clin Imaging. 2021 Dec:80:274-276. doi: 10.1016/j.clinimag.2021.07.020. Epub 2021 Jul 28.

Authors

Simarjeet Puri¹, John Swietlik², Orhan Ozkan², Mark Kleedehn²

Affiliations

¹ Department of Radiology - Interventional Radiology, University of Wisconsin Health University of Hospital, Madison, WI, USA. Electronic address: spuri@wisc.edu.
² Department of Radiology - Interventional Radiology, University of Wisconsin Health University of Hospital, Madison, WI, USA.

PMID: 34425545
DOI: 10.1016/j.clinimag.2021.07.020

Abstract

We present a case of a 24 year old man who presented with high flow priapism. Priapism is defined as an erection lasting four or more hours, either after or unrelated to sexual stimulation. Priapism can be categorized into low-flow, stuttering, and high-flow types, each with unique mechanisms and treatments. High-flow priapism is caused by an abnormal communication between the artery and sinusoids of the penis, often in the form of an arteriovenous fistula. Super-selective embolization is the treatment of choice for high-flow priapism if conservative measures fail. Super-selective embolization is associated with an 80% success rate and a low chance of post-procedure erectile dysfunction.

Keywords: Cavernosal fistula; High-flow; Priapism; Superselective radiographic embolization.

Publication types

Case Reports

MeSH terms

Adult
Arteriovenous Fistula* / complications
Arteriovenous Fistula* / diagnostic imaging
Arteriovenous Fistula* / therapy
Embolization, Therapeutic*
Humans
Male
Penile Erection
Penis / diagnostic imaging
Priapism* / diagnostic imaging
Priapism* / etiology
Priapism* / therapy
Young Adult