High-flow priapism: a combined interventional approach with angiography and colour Doppler

Volkmer, Bjoern G.; Nesslauer, Thomas; Kuefer, Rainer; Kraemer, Stefan; Goerich, J; Gottfried, Hans‐Werner

doi:10.1016/s0301-5629(01)00502-6

Cited by 15 publications

(9 citation statements)

References 13 publications

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“…Recently, the arterial angiography and the colorDoppler ultrasound were combined in an interventional approach to reduce radiation exposure, especially in children. 30 Attempts like cavernosography had only minor value. Changes of the cavernosal tissue shown by this examination proved to add only limited information.…”

Section: Resultsmentioning

confidence: 99%

Changing diagnostic and therapeutic concepts in high-flow priapism

et al. 2004

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High-flow priapism (HFP) is defined as pathological increased arterial influx into the cavernosal bodies. Since 1960, 202 cases have been published in the literature. This study evaluates the effect of the changing diagnostic and therapeutic concepts. The data of 202 cases of HFP was evaluated regarding diagnostic and therapeutic procedures and long-term results. Success was defined as restored erectile function without recurrent priapism. The major etiology of HFP is trauma, especially in children or young adults; in older men, HFP is a rare event mainly caused by malignoma. Cavernosal blood-gas analysis, color-Doppler ultrasound and angiography were the most effective diagnostic tools to distinguish high-from low-flow priapism. The success rate was 20% for shunt operations and 89% for arterial embolization. In conclusion, embolization was effective in the majority of cases of traumatic HFP, while shunt surgery remained disappointing. For HFP caused by inherited diseases and malignoma conservative therapy is mandatory.

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Section: Resultsmentioning

confidence: 99%

Changing diagnostic and therapeutic concepts in high-flow priapism

et al. 2004

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“…Patient's physical examination followed by corporeal blood gas analysis and color Doppler ultrasound or arteriogram is very useful to make a diagnosis in such a case [9]. The condition can be treated in various ways such as transcatheter embolization with autologous clots, microcoils or gelatin sponges, shunt operations, and open surgery [8]. All these techniques might face difficulties when the artery of the penis has variant origin and course as the one being reported here.…”

Section: Discussionmentioning

confidence: 99%

A Rare Variation in the Origin and Course of the Artery of Penis

Nayak

Kumar

Patil

et al. 2014

Case Reports in Vascular Medicine

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Vascular variations of the penis are very rare. Awareness of its variations is of utmost importance to the urologists and radiologist dealing with the reconstruction or transplants of penis, erectile dysfunctions, and priapism. We report an extremely rare variation of the artery of the penis and discuss its clinical importance. The artery of the penis arose from a common arterial trunk from the left internal iliac artery. The common trunk also gave origin to the obturator and inferior vesical arteries. The artery of the penis coursed forward in the pelvis above the pelvic diaphragm and divided into deep and dorsal arteries of the penis just below the pubic symphysis. The internal pudendal artery was small and supplied the anal canal and musculature of the perineum. It also gave an artery to the bulb of the penis.

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“…Since CDU is a noninvasive method and its role and effectiveness in the diagnosis is very specific, we can consider this method the gold standard diagnostic tool for high-flow priapism. Typical features of high-flow priapism are hypoechogenic cavernosal bodies in the early state and a pseudoaneurysm with a hyperechogenic capsula within the cavernosal body in patients with long-term disease [10]. Atypical arterial flow at the lacerated artery and reverse diastolic flow from the cavernous body reveal the diagnosis.…”

Section: Diagnosismentioning

confidence: 94%

The modern approach to high-flow priapism

Akkuş

2006

Curr sex health rep

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High-flow priapism: a combined interventional approach with angiography and colour Doppler

Cited by 15 publications

References 13 publications

Changing diagnostic and therapeutic concepts in high-flow priapism

Changing diagnostic and therapeutic concepts in high-flow priapism

A Rare Variation in the Origin and Course of the Artery of Penis

The modern approach to high-flow priapism

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