Skip to main content
SpringerLink
Log in

Selective embolization of bilateral arterial cavernous fistulas for posttraumatic penile arterial priapism

  • Case Reports
  • Published:
CardioVascular and Interventional Radiology Aims and scope Submit manuscript

Abstract

A 22-year-old man suffered a hiking accident with perineal trauma and developed a nonpainful priapism secondary to bilateral arterial-cavernosal fistulas. To minimize the risk of impotence in this young patient, successive selective embolizations with autologous blood clot were performed to close the fistulas. This led to an uncomplicated full recovery. No fistula was detectable on Doppler ultrasonography at 1-year follow-up. Review of the literature confirms the safety of embolization with autologous clot.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Ming-Xian J, Neng-Shu H, Ping W, Gui C (1994) Use of selective embolization of the bilateral cavernous arteries for posttraumatic arterial priapism. J Urol 151:1641–1642

    Google Scholar 

  2. Burt FB, Schirmer HK, Scott WW (1960) A new concept in the management of priapism. J Urol 83:60–61

    PubMed  CAS  Google Scholar 

  3. Wheeler GW, Simmons CR (1973) Angiography in post-traumatic priapism: A case report. Am J Roentgenol 119:619–620

    CAS  Google Scholar 

  4. Hauri D, Spycher M, Brühlmann W (1983) Erection and priapism: A new physiopathological concept. Urol Int 38:138–145

    Article  PubMed  CAS  Google Scholar 

  5. Ricciardi R Jr, Bhatt GM, Cynamon J, Bakal CW, Melman A (1993) Delayed high flow priapism: Pathophysiology and management. J Urol 149:119–121

    PubMed  Google Scholar 

  6. Brock G, Breza J, Lue TF, Tanagho EA (1993) High flow priapism: A spectrum of disease. J Urol 150:968–971

    PubMed  CAS  Google Scholar 

  7. McLeod RE, Clayden GR, Bonnell G (1981) Post-traumatic priapism: Successful treatment by percutaneous catheter embolization. J Can Assoc Radiol 32:238–239

    PubMed  CAS  Google Scholar 

  8. Steers WD, Selby JB Jr (1991) Use of methylene blue and selective embolization of the pudendal artery for high flow priapism refractory to medical and surgical treatments. J Urol 146: 1361–1363

    PubMed  CAS  Google Scholar 

  9. Gonzalez EA, Pamplona M, Rodriguez A, Garcia-Hidalgo E, Nunez V, Leiva O (1994) High flow priapism after blunt perineal trauma: Resolution with bucrylate embolization. J Urol 151:426–428

    Google Scholar 

  10. Wear JB Jr, Crummy AB, Munson BO (1977) A new approach to the treatment of priapism. J Urol 117:252–254

    PubMed  Google Scholar 

  11. Carmignani G, Belgrano E, Puppo P, Cichero A, Quattrini S (1980) Idiopathic priapism successfully treated by unilateral embolization of internal pudendal artery. J Urol 124:553–554

    PubMed  CAS  Google Scholar 

  12. Crummy AB, Ishizuka J, Madsen PO (1979) Posttraumatic priapism: Successful treatment with autologous clot embolization. Am J Roentgenol 133:329–330

    CAS  Google Scholar 

  13. Puppo P, Belgrano E, Quattrini S, Fabbro V, Repetto U, Giuliani L (1983) Treatment of priapism by transcatheter embolization of internal pudendal arteries. Urol Radiol 5:261–265

    Article  PubMed  CAS  Google Scholar 

  14. Belgrano E, Puppo P, Quattrini S, Trombetta C, Bottino P, Giuliani L (1984) Percutaneous temporary embolization of the internal pudendal arteries in idiopathic priapism: 2 additional cases. J Urol 131:756–758

    PubMed  CAS  Google Scholar 

  15. Witt MA, Goldstein I, Saenz de Tejada I, Greenfield A, Krane RJ (1990) Traumatic laceration of intracavernosal arteries: The pathophysiology of nonischemic, high flow, arterial priapism. J Urol 143:129–132

    PubMed  CAS  Google Scholar 

  16. Visvanathan K, Burrows PE, Schillinger JF, Khoury AE (1992) Posttraumatic arterial priapism in a 7-year-old boy: Successful management by percutaneous transcatheter embolization. J Urol 148:382–383

    PubMed  CAS  Google Scholar 

  17. Bastuba MD, Saenz de Tejada I, Dinlenc CZ, Sarazen A, Krane RJ, Goldstein I (1994) Arterial priapism: Diagnosis, treatment and long-term followup. J Urol 151:1231–1237

    PubMed  CAS  Google Scholar 

  18. Schwartz AN, Wang KY, Mack LA, Lowe M, Berger RE, Cyr DR, Feldman M (1989) Evaluation of normal erectile function with color flow Doppler sonography. Am J Roentgenol 153:1155–1160

    CAS  Google Scholar 

  19. Saenz de Tejada I, Goldstein I, Krane RJ (1988) Local control of penile erection: Nerves, smooth muscle, and endothelium. Urol Clin North Am 15:9–15

    PubMed  CAS  Google Scholar 

  20. Saenz de Tejada I, Blanco R, Goldstein I, Azadzoi K, de las Morenas A, Krane RJ, Cohen RA (1988) Cholinergic neurotransmission in human corpus cavernosum. I. Responses of isolated tissue. Am J Physiol 254(3 Pt 2):H459-H467

    PubMed  CAS  Google Scholar 

  21. Lue TF, Hellstrom WJ, McAninch JW, Tanagho A (1986) Priapism: A refined approach to diagnosis and treatment. J Urol 136:104–108

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Diagnostic Radiology, Lahey Hitchcock Medical Center, 41 Mall Road, 01805, Burlington, MA, USA

    Maxwell Lazinger, Carl F. Beckmann M.D. & Alda Cossi

  2. Department of Urology, Lahey Hitchcock Medical Center, 41 Mall Road, 01805, Burlington, MA, USA

    Robert A. Roth

Authors
  1. Maxwell Lazinger
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Carl F. Beckmann M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Alda Cossi
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Robert A. Roth
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lazinger, M., Beckmann, C.F., Cossi, A. et al. Selective embolization of bilateral arterial cavernous fistulas for posttraumatic penile arterial priapism. Cardiovasc Intervent Radiol 19, 281–284 (1996). https://doi.org/10.1007/BF02577651

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02577651

Key words

Search

Navigation