Tratamento endovascular da disfunção erétil por fístula arterioesponjosa traumática: relato de caso

Oliveira, Fábio Augusto Cypreste; Amorelli, Carlos Eduardo de Sousa; Campedelli, Fábio Lemos; Filho, Hugo Walter Frota; Barreto, Juliana Caetano; Meirelles, Flávio Vieira; Barreto, Mariana Caetano; Silva, Philippe Moreira da

doi:10.1590/s1677-54492012000400011

Cited by 1 publication

(4 citation statements)

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“…Clinical evaluation of patients with erectile dysfunction after penile trauma includes a thorough history, physical examination, vascular assessment, and other complementary exams [ 4 ]. The most common imaging methods for demonstrating penile vessels are doppler ultrasound (DUS), computed tomography (CT) angiography, and classic digital angiography.…”

Section: Discussionmentioning

confidence: 99%

“…The diagnosis of arteriospongious fistula was based on doppler ultrasonography and confirmed by angiography in both cases. Arteriospongious fistulas were successfully treated with coil embolization in both cases without reported recurrence in a follow-up of 6 months [ 4 , 9 ].…”

Section: Discussionmentioning

confidence: 99%

“…Post-traumatic penile arteriovenous fistula manifests as high-flow priapism due to the formation of an arteriocavernosal fistula. Increased arterial blood flow input with normal venous return causes non-ischemic painless priapism [ 4 , 5 ]. However, an arteriovenous shunt can also occur directly to the spongy body, resulting in an arteriospongious fistula.…”

Section: Introductionmentioning

confidence: 99%

“…The spongy body is supplied by the bulbar artery, which is not directly linked to the process of erection but to penile tumescence. As a result of blood shunt, input arterial blood flow equalizes with output venous flow, resulting in pain and erectile deficit [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

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Endovascular treatment of traumatic penile arteriospongious fistula in a patient with erectile dysfunction: a case report and literature review

Vihtelič,

Hawlina,

Popovič

2023

BMC Urol

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Background An arteriovenous fistula is an abnormal communication between an artery and a vein. Traumatic penile arteriospongious fistula is a rare complication and has been described as a cause of erectile dysfunction. Clinical evaluation of patients with erectile dysfunction after penile trauma includes a thorough history, physical examination, vascular assessment, and other complementary exams. Treatment consists of endovascular embolization, surgical ligation, or a combination of both techniques. Case presentation A 40-year-old man presented with erectile dysfunction that had persisted since suffering blunt trauma a few months ago. He reported problems with short duration of erection and insufficient penile tumescence. Due to high suspicion of an arteriovenous fistula, he was referred to angiography, which confirmed the diagnosis of an abnormal connection between the pudendal vessels. The patient was treated with the coil embolization technique and the symptoms were successfully resolved after endovascular treatment. Conclusions The appearance of a post-traumatic arteriospongious fistula is a rare complication with almost non-existent literature reported. Rapid development in endovascular techniques, in which we use embolic agents to block anomalous blood flow, has allowed safe, effective and less invasive alternative to surgery. Our case demonstrates that endovascular approach is a successful treatment for post-traumatic arteriospongious fistula since the symptoms were resolved, and normal erectile function was regained after the intervention.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%