High flow priapism following a straddle-injury-induced arteriocavernosal fistula: a case report
Kuwahara, M.; Nishimura, K.; Takagi, N.; Nishitani, M.; Ohta, K.; Fujisaki, N.; Uchino, A.; Matsuo, Y.
Hinyokika Kiyo. Acta Urologica Japonica 41(8): 625-628
1995
ISSN/ISBN: 0018-1994 PMID: 7572444 Document Number: 451616
A 26-year-old man with high flow priapism after blunt perineal trauma, is described herein. Patient evaluation included intracavernal blood-gasometry, cavernography, color flow Doppler sonography. The blood-gasometry showed pH 7.413, pO-2 77.9 mmHg, PCO-2 41.0 mmHg, HCO-326.1 mmol/L, BE 2.0 mmol/L. By direct cavernosography, pooling of contrast agent was seen at the root of the penis. Color flow Doppler sonography revealed pulsatile, turbulent flow within left corpus cavernosum. Our case was diagnosed as high flow priapism from these findings. Detumescence was not achieved by an alpha-adrenergic agent. Superselective embolization of the deep artery of the penis with autologous blood clot was performed with good results. Our case demonstrates that this procedure is a safe and effective therapy for high flow priapism and that erectile function can return to normal.