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Recurrent idiopathic high-flow priapism treated with selective arterial embolization after repeated initial treatments for low-flow priapism.
MedLine Citation:
PMID:  19293980     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
High-flow priapism is most often seen following perineal and penile trauma. We report the case of a 32-year-old man who presented with recurrent idiopathic priapism initially treated as low-flow priapism on 8 previous emergency department visits. Pelvic angiography revealed an abnormal communication between the left cavernosal artery and the left corpus cavernosum and led to the diagnosis of high-flow priapism. Treatment involved embolization of the left common penile artery, which resulted in successful resolution of the recurrent priapism. Our patient's case highlights the importance of an appropriate work-up, including imaging, to distinguish high- and low-flow priapism and to provide appropriate care.
Authors:
Christopher J D Wallis; Nathan Hoag; Peter J Pommerville; Michael E Huk
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Canadian Urological Association journal = Journal de l'Association des urologues du Canada     Volume:  3     ISSN:  1911-6470     ISO Abbreviation:  Can Urol Assoc J     Publication Date:  2009 Feb 
Date Detail:
Created Date:  2009-03-18     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101312644     Medline TA:  Can Urol Assoc J     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  60-3     Citation Subset:  -    
Affiliation:
University of British Columbia, Island Medical Program, University of Victoria, Victoria, BC.
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