Siriraj Medical Journal (Aug 2020)

Management of High-Flow Priapism: A Care Report and Review

  • Kriangkri Tangjitrmaneesakda,
  • Sunai Leewansangton,
  • Walailak Chaiyasoot,
  • Anupan Tantiwong

Journal volume & issue
Vol. 52, no. 1

Abstract

Read online

A case of high-flow priapism was presented. Diagnosis was based on the history of painless and persistent erection for 20 days. Cavernous blood gas showed arterial type. The arteriocavernous fistula was detected by either a perineal duplex Doppler ultrasonography or an internal pudendal arteriography. The treatment of choice was selective embolization with a good result and no immediate complication. Detumescence was noticed within 10 days. Follow up of perineal and penile duplex Doppler ultrasonographies showed no turbulent flow and low inflow of cavernous blood. Erectile function partially recovered at 2 months after the treatment.

Keywords