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Postsurgical high flow priapism treated by transarterial embolizaton: a case report.
MedLine Citation:
PMID:  22379753     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
The authors report a case of painful priapism, caused by iatrogenic arterial injury from endoscopic internal urethrotomy procedure for stricture urethra, which increased blood circulation in the penis. On physical examination, there was sustained erection, turgid corpora, swelling of penis and prepuce and tenderness at the perineal area. Bilateral selective internal iliac angiograms showed a prominent right internal pudendal artery and deep penile artery terminating in an arterio-sinusoidal fistula. This case was treated by superselective arterial embolization with Gelfoam pledgets and the treatment was successfully carried out in one session. However the patient sill had erectile dysfunction for six months. After that, the erectile dysfunction gradually improved. Finally, the patient had normal erectile function one year after embolization.
Authors:
Chalida Aphinives; Vallop Laopaiboon; Akekarin Chotikawanit
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the Medical Association of Thailand = Chotmaihet thangphaet     Volume:  95     ISSN:  0125-2208     ISO Abbreviation:  J Med Assoc Thai     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2012-03-02     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7507216     Medline TA:  J Med Assoc Thai     Country:  Thailand    
Other Details:
Languages:  eng     Pagination:  129-31     Citation Subset:  IM    
Affiliation:
Diagnostic Radiologist, Faculty ofMedicine, Khon Kaen University, Khon Kaen, Thailand. c_aphinives@yahoo.com
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