| Successful superselective arterial embolization for post-traumatic high-flow priapism. | |
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MedLine Citation:
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PMID: 17430268 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We report a case of high-flow priapism treated successfully with superselective embolization of the cavernous artery. An 18-year-old man presented to our hospital 12 days after having been struck in the perineum by the corner of a skateboard. Immediately after the injury, he suffered painless sustained incomplete erection. High-flow priapism was diagnosed on the basis of cavernosal blood gas analysis and color Doppler ultrasonography findings. Right internal pudendal arteriography showed blood pooling in the cavernosum as a result of a broken artery. We identified the precise position of the arterial-venous fistula and embolized it superselectively with gelatin sponge particles. The fistula disappeared completely. One year later, the patient's erectile function was completely restored, and there had been no recurrence of the priapism. According to the American Urological Association guidelines, conservative treatment should be attempted first for high-flow priapism. In our review of the literature, superselective arterial embolization could be an alternative treatment after more than 3 weeks of conservative treatment. |
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Authors:
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Tetsuya Takao; Keigo Osuga; Akira Tsujimura; Kiyomi Matsumiya; Norio Nonomura; Akihiko Okuyama |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: International journal of urology : official journal of the Japanese Urological Association Volume: 14 ISSN: 0919-8172 ISO Abbreviation: Int. J. Urol. Publication Date: 2007 Mar |
Date Detail:
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Created Date: 2007-04-13 Completed Date: 2007-05-22 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9440237 Medline TA: Int J Urol Country: Australia |
Other Details:
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Languages: eng Pagination: 254-6 Citation Subset: IM |
Affiliation:
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Department of Urology, Osaka University Graduate School of Medicine, Yamadaoka 2-2, Suita, Osaka 565-0871, Japan. takao@uro.med.osaka-u.ac.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Angiography Blood Flow Velocity Diagnosis, Differential Embolization, Therapeutic / methods* Humans Male Penile Erection / physiology Penis / blood supply*, physiopathology Priapism / diagnosis, etiology, therapy* Ultrasonography, Doppler, Color Vascular Fistula / complications, diagnosis, therapy |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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