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CardioVascular and Interventional Radiology
Published in: CardioVascular and Interventional Radiology 2/2006

01-04-2006

Treatment of “High-Flow” Priapism with Superselective Transcatheter Embolization: A Useful Alternative to Surgery

Authors: P. O’Sullivan, R. Browne, N. McEniff, M.J. Lee

Published in: CardioVascular and Interventional Radiology | Issue 2/2006

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Abstract

Purpose

To review the efficacy of treatment of high-flow priapism with superselective transcatheter embolization.

Methods

Over a 2-year period, we reviewed five patients who were treated for traumatic high-flow priapism with superselective embolization. All patients underwent diagnostic angiography that demonstrated a communication between the cavernosal artery and the corpora cavernosa. Each identified fistula was embolized using gel-foam, blood clot, microcoils, or a combination of these.

Results

All five patients had successful detumesence of priapism postprocedure. There was normal recurrence of early morning erection with successful detumescence for each patient within a 2- to 4-week period. Two of five patients (40%) presented with recurrence of priapism at 6 months and required a repeat embolization procedure. At 1 year, four of the five patients (80%) had normal erectile function.

Conclusion

Superselective transcatheter embolization is a useful therapeutic modality in the treatment of high-flow priapism. It provides equivalent rates of detumesence when compared to surgical techniques, and appears to have a greater success in preserving erectile function.
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Metadata
Title
Treatment of “High-Flow” Priapism with Superselective Transcatheter Embolization: A Useful Alternative to Surgery
Authors
P. O’Sullivan
R. Browne
N. McEniff
M.J. Lee
Publication date
01-04-2006
Publisher
Springer-Verlag
Published in
CardioVascular and Interventional Radiology / Issue 2/2006
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-005-0089-x

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