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Erciyes Medical Journal Successful Management of Post-traumatic High-Flow Priapism by Super-Selective Coil Embolization: A Case Report [Erciyes Med J]
Erciyes Med J. 2019; 41(2): 205-208 | DOI: 10.14744/etd.2019.78557

Successful Management of Post-traumatic High-Flow Priapism by Super-Selective Coil Embolization: A Case Report

Mohamed Ahmed Abd El Salam1, Shady Nabil Mashhour2, Omar Abdulsalam Azzazi1
1Department of Andrology, Sexology and STDs, Kasr Alainy Faculty of Medicine, Cairo University, Cairo, Egypt
2Department of Diagnostic and Interventional radiology, Kasr Alainy Faculty of Medicine, Cairo University, Cairo, Egypt

Priapism is a rare andrological emergency characterized by a prolonged penile erection that is not provoked by sexual excitation or stimulation and lasts longer than 4 hours. There are three different types of this emergency that can be encountered in clinical practice based on the episode history and pathophysiology, including veno-occlusive (ischemic or low-flow priapism), arterial (non-ischemic or high-flow priapism), and stuttering priapism. High-flow priapism is the less common type, which accounts for approximately 5%–10% of cases. This type is caused mainly by trauma to the penis, perineum, or a pelvis fracture that may lead to an arterio-cavernous fistula or pseudoaneurysm with a subsequent uncontrolled arterial inflow to the penis. This type of emergency is under-reported, and a low number of cases have been documented. Therefore, the effectiveness, encountered risks, as well as management outcomes are still limited. Hereby, we report a case of a 29-year-old male who presented to the emergency department complaining of a persistent painless penile erection for 2 weeks following perineal trauma (falling astride). A multidisciplinary clinical evaluation and management by a selective embolization technique are discussed in this case report.

Keywords: High flow, non-ischemic, post-traumatic, priapism, selective embolization

Mohamed Ahmed Abd El Salam, Shady Nabil Mashhour, Omar Abdulsalam Azzazi. Successful Management of Post-traumatic High-Flow Priapism by Super-Selective Coil Embolization: A Case Report. Erciyes Med J. 2019; 41(2): 205-208

Corresponding Author: Mohamed Ahmed Abd El Salam, Egypt
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