OBJECTIVE: We report three cases of high-flow priapism in three young patients who presented erectile dysfunction after perineal trauma.
METHODS: Complete clinical evaluation, blood tests, color Doppler ultrasonography (US), arteriography and selective embolization were performed.
RESULTS: The clinical history and physical assessment were compatible with high-flow priapism. Color Doppler US showed a pseudoaneurysm and an arteriocavernosal fistula, which was confirmed and embolized using arteriography.
CONCLUSIONS: High-flow priapism has a characteristic clinical presentation and physical examination. The radiologist has an important role in the diagnosis and treatment of this pathology. Color Doppler US and arteriography are essential in the diagnosis and allow embolization of the vascular injury. Prognosis is usually good.
Written by:
Vega-Vigo C, Márquez-Moreno AJ, Rojo-Carmona LE, Castillo Gallardo E. Are you the author?
Secciones de Ecografía y de Intervencionismo Vascular, Hospital Clínico Universitario de Málaga, Spain.
Reference: Arch Esp Urol. 2014 Sep;67(7):642-645.
PubMed Abstract
PMID: 25241839
Article in English, Spanish.