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


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2006-04

AUTHORS

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

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. More... »

PAGES

198-201

References to SciGraph publications

  • 2004-09. Superselective Embolization in Posttraumatic Priapism with Glubran 2 Acrylic Glue in CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY
  • 2001-12. Highly selective embolization of bilateral cavernous arteries for post-traumatic penile arterial priapism in INTERNATIONAL JOURNAL OF IMPOTENCE RESEARCH
  • 2005-03. Changing diagnostic and therapeutic concepts in high-flow priapism in INTERNATIONAL JOURNAL OF IMPOTENCE RESEARCH
  • 1996-01. Selective arterial embolization of idiopathic priapism in CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY
  • 1996-07. Posttraumatic high-flow priapism treated by N-butyl-cyanoacrylate embolization in CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY
  • 1996-07. Selective embolization of bilateral arterial cavernous fistulas for posttraumatic penile arterial priapism in CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY
  • 2002-08. Superselective Embolization with Coils in High-Flow Priapism in CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00270-005-0089-x

    DOI

    http://dx.doi.org/10.1007/s00270-005-0089-x

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1041959067

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/16328682


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