Post-traumatic arterial priapism: Colour Doppler examination and superselective arterial embolization

Kang, Byung Chul; Lee, D.Y.; Byun, Jae Yong; Baek, Seung Yon; Lee, S.W.; Kim, K.W.

doi:10.1016/s0009-9260(98)80195-5

Cited by 32 publications

(9 citation statements)

References 13 publications

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“…This rare form of priapism is typically painless because there is no tissue ischaemia. Although cavernosal blood gas analysis may be necessary to distinguish between the two forms of priapism, 4 the history and physical signs in our patient were characteristic of an arterial aetiology and this was confirmed by Doppler sonography. Although some cases of arterial priapism may resolve spontaneously, 5 either surgical ligation of the ruptured artery or percutaneous embolisation 3 6 has been used to treat most patients with this uncommon disorder.…”

supporting

confidence: 58%

Traumatic priapism: an unusual cycling injury: Figure 1

Golash

Gray²,

Ruttley³

et al. 2000

Br J Sports Med

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A case is reported of a 35 year old man who sustained an injury to the perineum in a cycling accident which resulted in a traumatic priapism. After confirmation of the diagnosis by Doppler sonography and angiography, therapeutic selective arterial embolisation was followed by successful detumescence of the penis and subsequent return of normal erectile function. It is suggested that percutaneous embolisation of the lacerated cavernosal artery is a safe and eVective minimally invasive treatment for this uncommon condition. (Br J Sports Med 2000;34:310-311)

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supporting

confidence: 58%

Traumatic priapism: an unusual cycling injury: Figure 1

Golash

Gray²,

Ruttley³

et al. 2000

Br J Sports Med

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“…[5][6][7] Since the method is noninvasive, highly sensitive and specific, the typical diagnosis and standard follow-up in highflow priapism are mainly based on color Doppler ultrasonography. [8][9][10] Even though different treatment methods have been proposed, most centers now manage high-flow priapism by minimally invasive radiological embolization of feeding artery.…”

Section: Introductionmentioning

confidence: 99%

Is the combination of superselective transcatheter autologous clot embolization and duplex sonography-guided compression therapy useful treatment option for the patients with high-flow priapism?

2005

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The aim of this study was to report feasibility, benefit and complications of superselective transcatheter autologous clot embolizations and duplex sonography-guided compression therapy in four patients with delayed post-traumatic high-flow priapism. Medical records of four consecutive patients diagnosed with delayed post-traumatic high-flow priapism (arterial priapism) were reviewed. High-flow priapism occurred mean 41.8 (6-92) h after the trauma developed. The patients were presented to hospital mean 8.3 (5-15) days after priapism occurred. The patients were assessed by penile color flow Doppler sonography. After the pathologically increased, arterial flow or arteriocavernosal fistula was seen, combination therapy with superselective transcatheter autologous clot embolizations and duplex sonography-guided compression was performed. If complete detumescence could not be achieved, this therapy was applied in the following day. In patients who had resistance to the second embolization, superselective embolization with microcoil was performed. Follow-up included penile color flow Doppler sonography at the following day, 1 month and 3 months after the procedure. International Impotence Symptoms Score (IIEF) was obtained during the follow-up. The treatment was successful in one, partially successful in one and not successful in two of the four patients. This therapy was reperformed to the latter three patients. After the treatment, high-flow priapism disappeared in one of the three patients and embolization with methalic microcoil was needed to perform to the other two patients. At 1 day after the treatment, color flow Doppler sonography and physical examinations were normal in all four patients. In the 1st and 3rd months of the follow-up, color flow Doppler sonography and the NPT tests were normal in three of the four patients. Slight erectile dysfunction was detected in one patient. Combination of superselective transcatheter autologous clot embolizations and duplex sonography-guided compression therapy may be considered as one of the first-line treatment options in adult patients with delayed post-traumatic high-flow priapism.

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“…[3] Few instances of idiopathic etiology are reported. This results in formation of arteriocavernosal fistula with or without a pseudoaneurysm.…”

Section: Discussionmentioning

confidence: 99%

Post-traumatic Cavernosal Artery Pseudoaneurysm Presenting as Right Hip Pain: An Imaging Evaluation

Govindarajan

Sai

Anupama

et al. 2012

Journal of Clinical Imaging Science

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Pseudoaneurysm of the cavernosal artery is quite rare. Herein, we describe color Doppler findings of post-traumatic pseudoaneurysm of the right cavernosal artery in a 19-year-old adolescent boy who presented with right hip pain. Doppler showed turbulence of flow with arterial inflow and outflow from the aneurysm. Selective transarterial catheterization of the internal iliac and internal pudental artery with microcatheter and embolization of pseudoaneurysm using histocryl resulted in alleviation of symptoms.

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Post-traumatic arterial priapism: Colour Doppler examination and superselective arterial embolization

Cited by 32 publications

References 13 publications

Traumatic priapism: an unusual cycling injury: Figure 1

Traumatic priapism: an unusual cycling injury: Figure 1

Is the combination of superselective transcatheter autologous clot embolization and duplex sonography-guided compression therapy useful treatment option for the patients with high-flow priapism?

Post-traumatic Cavernosal Artery Pseudoaneurysm Presenting as Right Hip Pain: An Imaging Evaluation

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