Angiography in Post-Traumatic Priapism

Posttraumatic Priapism in a 7-Year-Old Boy

“…We opted to per form a cavemosaphenous vein shunt [6] with success; flow was no longer seen in the shunt 2 weeks after surgery, good flow was seen in the corporeal vessels and normal erections had returned. embolization in adults [5,[13][14][15]. Improved catheters, and the use of superselective angiography, have allowed children to be treated in a similar manner [1], Our report confirms the practicability of the procedure in young boys, but also demonstrates that the technique does not always suc ceed.…”

“…Wheeler et al [13] first demonstrated an arteriocavemosal shunt causing excess corpora cavernosa inflow in an adult, a mechanism now recognized as one of a number of causes of priapism in the pres ence of a relative normal venous outflow [11,12], the knowledge of venous fistula at open surgery [16,17] and ligature of the internal pudendal artery [5,10] are alternative, further techniques used in adults which we would not advocate in children. We opted to per form a cavemosaphenous vein shunt [6] with success; flow was no longer seen in the shunt 2 weeks after surgery, good flow was seen in the corporeal vessels and normal erections had returned.…”

Treatment of Post-Traumatic Priapism by Means of Autologous Clot Embolization

“…In these cases diagnosis is very difficult as well. Angiography is probably the most useful method of diagnosis of vascular abnormalities and is the final and conclusive examination [2][3][4][5][6][7], Blood gas analysis and cavernosometry clearly demonstrate that the mechanism of erection and the physiopathology of high-flow priapism proposed by Hauri et al [4] and Witt et al [6] is still valid. Normal erection and sexual activity following embolization of the pudendal artery are difficult to explain, but are reported also in the cases described in literature.…”

“…Eight cases have been described to date; 7 of them were secondary to trauma and 1 following intracorporéal papaverine injection [1][2][3][4][5][6][7], Arterovenous fistula is the commonest cause of this hemody namic alteration. An excess of arterial inflow in the corpora caver nosa stretches the areolae and causes penile erection.…”

Geschichte des High-flow-Priapismus: 1960–2005

“…Whee ler u. Sim mons [16] führ ten 1973 erst mals bei ei nem Pa ti en ten mit klas sischem Bild ei nes ar te ri el len Pria pis mus (schmerz lo se Erek ti on, hell ro tes Schwellkör per blut) eine An gio gra phie der Äste der A. ilia ca in ter na durch. Da bei konnten sie eine ar te rio ka ver nö se Fis tel aus gehend von Äs ten der A. pu den da in ter na nach wei sen.…”