Abstract

RODRIGUEZ TOLRA, J. et al. Our experience in high-flow priapism due to uni-or bilateral arterio-lacunar fistula. Actas Urol Esp [online]. 2007, vol.31, n.2, pp.113-119. ISSN 0210-4806.

Objective: To present our experience in both uni-and bilateral priapism, highlighting good resultsobtained with supraselective embolisation. Material and methods: We present 5 cases of high-flow priapism secondary to perineal trauma, with a mean age of 31 years (24-43 years). The mean time to presentation from the moment of the trauma was 18,6 days (1-60 days). Diagnosis was confirmed through gasometry of the corpora cavernosa, penile doppler ultrasound (2 cases) and selective arteriography of the pudendal artery. In all cases treatment was by supralective embolisation with gelatin sponge. In the two bilateral cases, embolisation was performed in the same act. Results: In the short term was a recovery of flaccidity and in the long term (3-4 months) a recovery of erection with no fibrotic sequelae of the corpora cavernosa. Conclusions: Embolisation of the lacerated artery, in a single procedure in cases of bilateral lacerations, provides excellent results.

Keywords : High-flow priapism; Arterio-lacunar fistula; Embolisation.

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