Use of selective embolization of the bilateral cavernous arteries for posttraumatic arterial priapism

Nonischemic arterial high flow priapism caused by traumatic laceration of a branch of the penile cavernous artery is rare. We report a case of laceration of the left and right branches of the intracavernous artery, which was confirmed by selective internal pudendal arteriography. Bilateral cavernous...

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Bibliographic Details
Published inThe Journal of urology Vol. 151; no. 6; p. 1641
Main Authors Ji, M X, He, N S, Wang, P, Chen, G
Format Journal Article
LanguageEnglish
Published United States 01.06.1994
Subjects
Adult
Angiography
Arteries - injuries
Embolization, Therapeutic - methods
Humans
Male
Penis - blood supply
Penis - diagnostic imaging
Penis - injuries
Priapism - diagnostic imaging
Priapism - etiology
Priapism - therapy
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Summary:Nonischemic arterial high flow priapism caused by traumatic laceration of a branch of the penile cavernous artery is rare. We report a case of laceration of the left and right branches of the intracavernous artery, which was confirmed by selective internal pudendal arteriography. Bilateral cavernous artery embolization was performed using gelatin sponge and detumescence occurred immediately. Normal potency was evident 4 months later. Our case demonstrates that selective cavernous arterial embolization is a safe and effective therapy for arterial priapism and that erectile function can return to normal.
ISSN:0022-5347
DOI:10.1016/S0022-5347(17)35327-2