| Treatment of high-flow priapism with superselective transcatheter embolization in 27 patients: a multicenter study. | |
MedLine Citation:
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PMID: 17911511 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To evaluate the effectiveness and safety of treatment of high-flow priapism (HFP) with superselective transcatheter embolization at nine university hospitals. MATERIALS AND METHODS: Between May 1994 and October 2006, 27 patients underwent superselective embolization of the cavernous artery for HFP. Trauma was apparent in 22 patients, there was self-administered intracavernosal injection for erectile dysfunction in two, and the remaining three did not recall any penile or perineal trauma. The embolic agents used were autologous blood clot (n = 12), gelatin sponge (n = 12), microcoils combined with gelatin sponge (n = 1), polyvinyl alcohol (n = 1), and N-butyl cyanoacrylate (n = 1). Recurrence of priapism and change in erectile function were evaluated during a mean follow-up of 13 months. Differences in results between patients treated with autologous blood clot versus gelatin sponge were statistically analyzed with use of the chi(2) test. RESULTS: In 24 of 27 patients (89%), a single embolization was sufficient for complete resolution of priapism. Repeat embolization was required in two patients (7%), and in the remaining patient (4%), shunt surgery was performed after embolization as a result of HFP coexisting with corporeal venoocclusive dysfunction. Eighteen of 23 patients (78%) who had premorbid normal erectile function showed maintained potency during the follow-up period. There was no significant difference affecting required repeat embolization (P = .537) and change in quality of erection (P = .615) during the follow-up period between the autologous blood clot and gelatin sponge treatment groups. CONCLUSIONS: Superselective transcatheter embolization in the treatment of HFP is effective and ensures a high level of preservation of premorbid erectile function. |
Authors:
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Kyung Rae Kim; Ji Hoon Shin; Ho-Young Song; Gi-Young Ko; Hyun-Ki Yoon; Kyu-Bo Sung; Tae-Young Ahn; Chang Won Kim; Young Hwan Kim; Heung-Kyu Ko; Byung Kook Kwak; Hyung Jin Shim; Hwan-Hoon Chung; Sung Wook Shin; Jae-Ik Bae |
Publication Detail:
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Type: Journal Article; Multicenter Study |
Journal Detail:
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Title: Journal of vascular and interventional radiology : JVIR Volume: 18 ISSN: 1051-0443 ISO Abbreviation: J Vasc Interv Radiol Publication Date: 2007 Oct |
Date Detail:
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Created Date: 2007-10-03 Completed Date: 2008-01-10 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9203369 Medline TA: J Vasc Interv Radiol Country: United States |
Other Details:
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Languages: eng Pagination: 1222-6 Citation Subset: IM |
Affiliation:
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Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Child Child, Preschool Embolization, Therapeutic / adverse effects, methods* Follow-Up Studies Humans Korea Male Middle Aged Penile Diseases / complications*, physiopathology, radiography, therapy Penile Erection Penis / blood supply* Priapism / etiology, physiopathology, radiography, therapy* Recurrence Regional Blood Flow Retrospective Studies Time Factors Treatment Outcome Vascular Fistula / complications*, physiopathology, radiography, therapy |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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