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Endovascular embolization of posttraumatic high-flow priapism: Uncommon arteriovenous fistula of the corpus cavernosum

Maarten J. Otten, MD, Lotte G. Zuur, MD, Jasper Florie, MD,phD and 1 more

Radiology Case Reports · 2022

doi:10.1016/j.radcr.2022.01.019 (opens in a new tab)

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Abstract

Background priapism is a persistent penile erection lasting more than four hours without sexual arousal or stimulation. Non-ischemic high-flow priapism is an uncommon finding. Case presentation: we report on a high-flow priapism, an uncommon arteriovenous fistula of the corpus cavernosum after a straddle trauma which was successfully treated by super selective trans-arterial embolization using a temporary embolic agent. At follow up no recurrent episodes of priapism occurred without symptoms of erectile dysfunction or other complications. Conclusion Super selective embolization has a high rate of technical success with preservation of erectile function in this case without complications.

Abstract licence: CC BY-NC-ND

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