Aims and objectives
a relatively uncommon disorder,
is a medical emergency.
Although not all forms of priapism require immediate intervention,
ischemic priapism is associated with progressive fibrosis of the cavernosal tissues and Thus,
all patients with priapism should erectile be evaluated emergently in order to intervene as early as possible in those patients with ischemic priapism. The goal of the management of all patients with priapism is to achieve detumescence and preserve erectile function....
Methods and materials
Ø Experience of5 patients with mean age of 16 yrs. ØDiagnosis of non-ischemic High Flow Priapism ( HFP ) ØInitialdiagnosis with High resolution Ultrasound andColor-Doppler. ØConfirmed by pudendal arteriography ( DSA ). ØMost common cause –microvessel arterio-corporal fistula. ( ACF ) Ø 5 patients:5 Male; 0 Female. Ø Age range :14 yr to 42 yr ,
average 16 yr. ØOut of these,
on DSA :- One case of bilateral ACF. - Two unilateral ACF. - Unilateral ACF with pseudoaneurysm in two. Ø Embolization...
Ø Most common etiology : direct / indirect trauma. ØAll primary diagnosis made on high resolutionultrasound and color doppler. Type of Fistula Number of cases Percentages (%) Unilateral 2/5 40 Bilateral 1/5 20 Unilateral with pseudoaneurysm 2/5 40 ØTechnical success in all cases. Ø1 case( 20 % )repeat embolization -due to recurrencewithin 7days. ØErectile function was restored in mean of 6 weeks. Ø1 patient reported slight decrease in the quality of erection. ØNo recurrence or any...
Ø Colour-flow doppler ultrasound is a wonderful modality to diagnose nonischemic HFP. ØSuper selective transcatheter embolization with temporary embolizing agentis an effective relatively non-invasive therapy for the treatment of HFP. Ø “ We as Interventional Radiologists,
can not only help to diagnose this rare emergency ,
but can also help to treat it by minimally invasive techniques and achieve excellent results as discussed”
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High flow priapism.
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Post-traumatic arteria priapism: colour Doppler examination and superselective arterial embolization.
in Radiol 1998;53: 830-834. 4.
Evaluation and nonsurgical management of erectile dysfunction and priapism.
In: Walsh P,
editors. Campbells text...