Endovascular Therapy for Priapism Secondary to Perineal Trauma

Fratezi, Ayrton Cássio; Martins, Valéria Márcia; Porta, Rina Maria Pereira; Prado, Marco A. M.; Prota, Rubens; Caldas, José Guilherme Mendes Pereira; Cerri, Giovanni G.

doi:10.1097/00005373-200103000-00033

Cited by 15 publications

(11 citation statements)

References 18 publications

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“…Contrast angiography is used to accurately locate the fistula, and it is selectively occluded with embolic material. The embolic agents that can be used include temporary agents such as gelfoam or autologous clot [9]; agents such as N-butyl cyanoacrylate [4,9], polyvinyl alcohol [9,12], and metallic coils cause permanent occlusion. We used gelfoam for embolization in all 3 children to provide for temporary occlusion of the damaged artery and thus reduce the pressure head within the fistula, thereby facilitating its occlusion.…”

Section: Discussionmentioning

confidence: 99%

“…We used gelfoam for embolization in all 3 children to provide for temporary occlusion of the damaged artery and thus reduce the pressure head within the fistula, thereby facilitating its occlusion. This also allows time for the damaged artery to heal; and shortly afterward, vascular recanalization occurs, thus avoiding permanent erectile dysfunction [4,9]. The artery is only occluded for 1 to 2 days [2].…”

Section: Discussionmentioning

confidence: 99%

“…Treatment modalities vary from watchful waiting to surgical ligation of the offending artery. Over the last 10 years, super-selective angiography and embolization of the ruptured vessels with a variety of substances have proven to be the most popular method of therapy [1,[3][4][5][6][7][8][9][10]. Presented here are the 3 cases of high-flow priapism that were successfully treated in our institution in the past 10 years and a review of treatment modalities currently in use.…”

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confidence: 99%

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Pediatric high-flow priapism and super-selective angiography—an Australian perspective

Sandler

Chennapragada

Soundappan

et al. 2008

Journal of Pediatric Surgery

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Pediatric high-flow priapism and super-selective angiography—an Australian perspective

Sandler

Chennapragada

Soundappan

et al. 2008

Journal of Pediatric Surgery

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“…Materials for use in embolization include coils, polyvinyl alcohol particles, gelatin sponge (Gelfoam), and N-butyl-cyanoacrylate (NBCA) (28). The major advantages of microcoils are the absence of movement to a peripheral blood vessel and a lower risk of recanalization compared with other materials.…”

Section: Lrp Was First Described By Schuessler Et Al (8) Andmentioning

confidence: 99%

Transarterial embolization for pelvic hematoma following laparoscopic radical prostatectomy: A case report and review of the literature

et al. 2015

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Abstract. The present study reports a case of hemorrhage from branches of the right obturator artery following laparoscopic radical prostatectomy. On post-operative day 9, the patient complained of lower abdominal pain, and the hemoglobin and hematocrit levels had decreased. Emergency computed tomography angiography showed a large pelvic hematoma suggesting active bleeding. Transarterial embolization (TAE) was performed using microcoils. There were no post-procedure complications. At 3 months post-surgery, using computed tomography, the pelvic hematoma was shown to have been absorbed. To the best of our knowledge, TAE for a hemorrhage from the obturator artery following laparoscopic prostatectomy has not previously been described. TAE is a safe and minimally invasive treatment compared with surgical intervention, and should be considered as a treatment for post-operative arterial hemorrhage. IntroductionProstate cancer is one of the most common malignancies of the urinary tract. Based on incidence and mortality data from several agencies, the American Cancer Society estimates that 233,000 new prostate cancer cases and 29,480 mortalities from prostate cancer are projected to occur in the United States in 2014 (1). Prostate cancer is a heterogeneous disease that varies in spectrum from tumors with a low risk of mortality to highly aggressive malignant disease (2). Newly diagnosed prostate cancer has been increasing in Japan, and is predicted to be the first or second most common cancer by 2020 (3). Although the age-adjusted mortality rate, which had rapidly increased up to ~2,000, began to reduce slightly in 2004, the crude mortality rate has continued to rise gradually due to the ageing population (4). Radical prostatectomy has commonly been performed using an open retropubic approach for localized prostate cancer. However, in the past decade, with the development of laparoscopic and robotic techniques, laparoscopic radical prostatectomy (LRP) or robotic-assisted LRP (RALRP) has been widely accepted with the advantages of less invasiveness, shorter recovery, reduced blood loss, and improved visualization of the operative region compared to open techniques (5-7) Severe hemorrhage following prostatectomy is relatively rare, but is one of the serious complications. The current study presents a case in which arteriography with transarterial embolization (TAE) was beneficial for the treatment of severe hemorrhage following LRP. Case reportIn May 2013, a 70-year-old man first presented with lower urinary tract symptoms to the outpatient clinic of Kurume University Hospital, Fukuoka, Japan and was demonstrated to have an elevated the prostate-specific antigen (PSA) of 9.3 ng/ml. In September 2013, subsequent transrectal ultrasound-guided biopsy of the prostate showed prostate adenocarcinoma, with Gleason Score 3+4=7 involving 30% of the bilateral lobes. According to the imaging and biopsy findings, the tumor was classified as cT2cN0M0. In December 2013, LRP and pelvic lymphadectomy were performed without nerve sparing b...

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“…Therefore, in this study we used only heparin as prophylactic venous thrombosis agent, and no drugs were employed to control or inhibit neointima formation, and no thrombosis or embolism was observed. Diverse complications have been described regarding the access route/catheterization (hematomas at the entry site, pseudoaneurysm in the inguinal region, early thrombosis, intima dissection, and vessel perforation 14,16,35 ). Intravenous SG placement carries the risk of malpositioning, displacement, and migration to the cardiopulmonary circulation, right cardiac chambers or pulmonary artery.…”

Section: Endovascular Treatment Of Juxtahepatic Ivc Injurymentioning

confidence: 99%

An Experimental Model for the Treatment of Lethal Bleeding Injury to the Juxtahepatic Vena Cava With Stent Graft

Porta

Poggetti

Pereira

et al. 2006

The Journal of Trauma: Injury, Infection, and Critical Care

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Endovascular Therapy for Priapism Secondary to Perineal Trauma

Cited by 15 publications

References 18 publications

Pediatric high-flow priapism and super-selective angiography—an Australian perspective

Pediatric high-flow priapism and super-selective angiography—an Australian perspective

Transarterial embolization for pelvic hematoma following laparoscopic radical prostatectomy: A case report and review of the literature

An Experimental Model for the Treatment of Lethal Bleeding Injury to the Juxtahepatic Vena Cava With Stent Graft

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