2005
DOI: 10.1038/sj.ijir.3901398
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High-flow priapism as a complication of a veno-occlusive priapism: two case reports

Abstract: The presentation of two cases of veno-occlusive priapism, in patients of 36 and 58 years, in whom the different medical and surgical techniques employed, failed. The suspicion that high-flow priapism had been provoked by said surgical intervention was confirmed by bilateral arteriographs of the pudendal artery. The treatment, selective embolisation of the affected cavernosal artery with reabsorbable material, led to a rapid return of penile detumescence.

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Cited by 16 publications
(14 citation statements)
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References 10 publications
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“…Several authors have noted that following either aggressive medical management of ischemic priapism with aspiration and intracavernous alpha‐adrenergic injections or surgical shunting that priapism may rapidly recur with conversion from ischemia to high flow. High‐flow priapism has been reported following medical and surgical management of ischemic priapism [47–49]. Color Doppler ultrasound in these cases reveals formation of an arteriolar‐sinusoidal fistula as in typical high‐flow priapism or, on rare occasion, a high‐flow hemodynamic state of the cavernous arteries with no evident fistula formation.…”
Section: Epidemiology and Pathophysiology Of Priapismmentioning
confidence: 98%
“…Several authors have noted that following either aggressive medical management of ischemic priapism with aspiration and intracavernous alpha‐adrenergic injections or surgical shunting that priapism may rapidly recur with conversion from ischemia to high flow. High‐flow priapism has been reported following medical and surgical management of ischemic priapism [47–49]. Color Doppler ultrasound in these cases reveals formation of an arteriolar‐sinusoidal fistula as in typical high‐flow priapism or, on rare occasion, a high‐flow hemodynamic state of the cavernous arteries with no evident fistula formation.…”
Section: Epidemiology and Pathophysiology Of Priapismmentioning
confidence: 98%
“…4,5,11,12 Injury to the cavernosal arteries may occur during corporal aspiration 11 due to the fixity of arteries in the rigid edematous corpora, or during proximal shunting procedures connecting the crura with the corpus spongiosum. 5 In some cases, however, color Doppler sonography reveals a high-flow cavernosal arterial state without angiographic evidence of a cavernosal-sinusoidal fistula. 4,12 In these patients, cavernosal artery embolization can be attempted to reduce penile inflow and intracorporal overpressure.…”
Section: Case Reportmentioning
confidence: 99%
“…5 To the best of our knowledge, high-flow priapism following laceration of the dorsal arteries after distal shunting procedures has not been reported previously.…”
mentioning
confidence: 99%
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“…High flow priapism has been reported to occur following shunting with return of heightened blood flow in the cavernosal arteries as demonstrated by ultrasonography. 101,102 Early penile prosthesis implantation is a third option, particularly in adult patients, that may be selected based on the likelihood of permanent ED. Priapism episodes lasting continuously for .36 hours are almost invariably associated with permanent ED.…”
Section: Surgical Managementmentioning
confidence: 99%