Document Detail


Embolization for massive urethral hemorrhage.
MedLine Citation:
PMID:  17401598     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Priapism is the term given to a prolonged, painful penile erection, unaccompanied by sexual desire. Most cases of priapism occur as a result of engorgement of the cavernous body of the penis due to intrinsic or extrinsic venous outflow obstruction, which is termed veno-occlusive priapism. However, in a small number of patients, the cause is related to uncontrolled arterial inflow due to trauma and resultant laceration of cavernosal arteries. This form of disease has been termed high-flow priapism and usually occurs in association with genitoperineal trauma. Most incidents of high-flow arteriogenic priapism result from genitoperineal trauma, such as that caused by sliding on a wooden bar or falling astride a ladder. We experienced a patient with a high-flow priapism due to urethral trauma caused by a misplaced Foley catheter. The treatment consisted of superselective arterial embolization of the bilateral internal pudendal arteries using metallic microcoils, which resulted in the subsequent detumescence of the penis with no complications. This case showed that bilateral arteriocavernosal fistulae can be successfully treated by superselective arterial embolization.
Authors:
Hiroshi Kondo; Tohru Yamada; Masayuki Kanematsu; Nobuo Kako; Satoshi Goshima; Naoki Yamamoto
Related Documents :
11803208 - Gelatin sponge embolization. a method for the management of iatrogenic preterm prematur...
24256918 - Surgical and anesthetic considerations for the endovascular treatment of ruptured desce...
359118 - Internal carotid artery embolism by shotgun pellet.
23296418 - Complications during carotid artery stenting.
21287958 - Echocardiographic diagnosis of divided right atrium-cor triatriatum dextrum.
23008378 - Gigantic unruptured sinus of valsalva aneurysm presenting as an incidental murmur.
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Abdominal imaging     Volume:  32     ISSN:  0942-8925     ISO Abbreviation:  Abdom Imaging     Publication Date:    2007 Mar-Apr
Date Detail:
Created Date:  2007-06-06     Completed Date:  2007-10-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9303672     Medline TA:  Abdom Imaging     Country:  United States    
Other Details:
Languages:  eng     Pagination:  262-3     Citation Subset:  IM    
Affiliation:
Department of Radiology, Gifu University School of Medicine, Gifu City, Japan. hkondo@cc.gifu-u.ac.jp
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Aged
Catheters, Indwelling / adverse effects
Embolization, Therapeutic*
Hemorrhage / etiology,  therapy*
Humans
Male
Penis / blood supply
Priapism / etiology*
Radiography, Interventional
Rupture
Urethra / injuries*
Urinary Catheterization / adverse effects*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Relationships between soil organic status and microbial community density and genetic structure in t...
Next Document:  Seminoma in undescended testis.