“High-Flow” Priapism: Treatment with Superselective Transcatheter Embolization

Walker, T.G.; Grant, P.W.; Goldstein, Irwin; Krane, Robert J.; Greenfield, Alan J.

doi:10.1148/radiology.174.3.174-3-1053

Cited by 64 publications

(17 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…15 Five treatment options for high-flow priapism are available: watchful waiting, 8 pharmacological treatment, 16 However, selective internal pudental angiography with embolization has been applied more frequently than the other treatments due to its high success rate. 3,8,9,[18][19][20] It can be performed at specialized centers by experienced personnel.…”

Section: Discussionmentioning

confidence: 99%

Is the combination of superselective transcatheter autologous clot embolization and duplex sonography-guided compression therapy useful treatment option for the patients with high-flow priapism?

2005

View full text Add to dashboard Cite

The aim of this study was to report feasibility, benefit and complications of superselective transcatheter autologous clot embolizations and duplex sonography-guided compression therapy in four patients with delayed post-traumatic high-flow priapism. Medical records of four consecutive patients diagnosed with delayed post-traumatic high-flow priapism (arterial priapism) were reviewed. High-flow priapism occurred mean 41.8 (6-92) h after the trauma developed. The patients were presented to hospital mean 8.3 (5-15) days after priapism occurred. The patients were assessed by penile color flow Doppler sonography. After the pathologically increased, arterial flow or arteriocavernosal fistula was seen, combination therapy with superselective transcatheter autologous clot embolizations and duplex sonography-guided compression was performed. If complete detumescence could not be achieved, this therapy was applied in the following day. In patients who had resistance to the second embolization, superselective embolization with microcoil was performed. Follow-up included penile color flow Doppler sonography at the following day, 1 month and 3 months after the procedure. International Impotence Symptoms Score (IIEF) was obtained during the follow-up. The treatment was successful in one, partially successful in one and not successful in two of the four patients. This therapy was reperformed to the latter three patients. After the treatment, high-flow priapism disappeared in one of the three patients and embolization with methalic microcoil was needed to perform to the other two patients. At 1 day after the treatment, color flow Doppler sonography and physical examinations were normal in all four patients. In the 1st and 3rd months of the follow-up, color flow Doppler sonography and the NPT tests were normal in three of the four patients. Slight erectile dysfunction was detected in one patient. Combination of superselective transcatheter autologous clot embolizations and duplex sonography-guided compression therapy may be considered as one of the first-line treatment options in adult patients with delayed post-traumatic high-flow priapism.

show abstract

Section: Discussionmentioning

confidence: 99%

Is the combination of superselective transcatheter autologous clot embolization and duplex sonography-guided compression therapy useful treatment option for the patients with high-flow priapism?

2005

View full text Add to dashboard Cite

show abstract

“…Autologous clot and absorbable gelatin sponges have been advocated for embolization because they permit rapid return of blood¯ow after clot lysis and thereby minimize complications. 34,62 In a report by Bastuda et al, six patients were embolized and all recovered erectile function. 34 Nevertheless, all patients undergoing this type of intervention should be aware of the possibility of impotency.…”

Section: Therapy For High¯ow Priapismmentioning

confidence: 98%

Priapism

Melman

Serels

2000

Int J Impot Res

View full text Add to dashboard Cite

“…In our case the priapism was not due to a 'high-flow' state since an arteriosinusoidal fistula was not recognized on Doppler or arteriography. At least 36 patients with arteriosinusoidal fistula, almost exclusively secondary to local trauma, have been treated with selective embolization and a cumulative success rate of greater than 90% [3][4][5][6][7][8][9][10][11]. Au-…”

Section: Discussionmentioning

confidence: 99%

“…Straddle injuries of the perineum commonly result in traumatic arteriosinusoidal fistula and subsequent highflow states [1][2][3]. Several reports in the past described the management of such fistulas with selective embolization by using autologous clot, gelfoam pledgets, n-butyl-cyanoacrylate or more recently, microcoils [4][5][6][7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Superselective Microcoil Embolization of a Traumatic Pseudoaneurysm of the Cavernosal Artery

Mourikis

Chatziioannou²,

Konstantinidis³

et al. 2000

Urol Int

View full text Add to dashboard Cite

According to the literature, straddle injuries of the perineum may result in arteriosinusoidal fistula and secondary high-flow priapism. We report a case of a 23-year-old man who developed a traumatic pseudoaneurysm of the cavernosal artery, secondary to straddle injury, and presented with painless priapism. It was treated successfully with superselective microcoil embolization and the priapism resolved.

show abstract

“High-Flow” Priapism: Treatment with Superselective Transcatheter Embolization

Cited by 64 publications

References 0 publications

Is the combination of superselective transcatheter autologous clot embolization and duplex sonography-guided compression therapy useful treatment option for the patients with high-flow priapism?

Is the combination of superselective transcatheter autologous clot embolization and duplex sonography-guided compression therapy useful treatment option for the patients with high-flow priapism?

Priapism

Superselective Microcoil Embolization of a Traumatic Pseudoaneurysm of the Cavernosal Artery

Contact Info

Product

Resources

About