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Published in: Pediatric Surgery International 11/2011

01-11-2011 | Original Article

High flow priapism: diagnosis and treatment in pediatric population

Authors: Juan Pablo Corbetta, Víctor Durán, Carol Burek, Cristian Sager, Santiago Weller, Enrique Paz, Juan Carlos Lopez

Published in: Pediatric Surgery International | Issue 11/2011

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Abstract

Purpose

To present three cases of arterial high flow priapism (HFP) and propose a management algorithm for this condition.

Materials and methods

We studied three children with post-traumatic arterial HFP (two patients with perineal trauma and one with penis trauma).

Results

Spontaneous resolution was observed in all the patients. The time of resolution by a return to a completely flaccid penis was different: 14, 27 and 36 days in each case.

Conclusions

Absence of long-term damaging effects of arterial HFP on erectile tissue combined with the possibility of spontaneous resolution associated with blunt perineal trauma are suggestive signs for the introduction of an observation period in the management algorithm of HFP. Such a period may help to avoid unnecessary surgical intervention. Thus, these cases reinforce the decision to manage these patients conservatively and avoid angiographic embolization as a first therapeutic choice.
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Metadata
Title
High flow priapism: diagnosis and treatment in pediatric population
Authors
Juan Pablo Corbetta
Víctor Durán
Carol Burek
Cristian Sager
Santiago Weller
Enrique Paz
Juan Carlos Lopez
Publication date
01-11-2011
Publisher
Springer-Verlag
Published in
Pediatric Surgery International / Issue 11/2011
Print ISSN: 0179-0358
Electronic ISSN: 1437-9813
DOI
https://doi.org/10.1007/s00383-011-2911-7

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