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

Kriangkri  Tangjitrmaneesakda; Sunai  Leewansangton; Walailak  Chaiyasoot; Anupan  Tantiwong

Siriraj Medical Journal (Aug 2020)

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

Kriangkri Tangjitrmaneesakda,
Sunai Leewansangton,
Walailak Chaiyasoot,
Anupan Tantiwong

Affiliations

Kriangkri Tangjitrmaneesakda: Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700
Sunai Leewansangton: Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700
Walailak Chaiyasoot: Department of Radiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700
Anupan Tantiwong: Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700

Journal volume & issue: Vol. 52, no. 1

Abstract

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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.

High-Flow Priapism

Published in Siriraj Medical Journal

ISSN: 2228-8082 (Online)
Publisher: Faculty of Medicine Siriraj Hospital
Country of publisher: Thailand
LCC subjects: Medicine
Website: https://he02.tci-thaijo.org/index.php/sirirajmedj/about

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