Rodríguez Corchero Javier, García Merino Francisco, Cruz Navarro Natalio, Barrero Candau Rafael, Argüelles Salido Enrique, Borrero Fernández Jerónimo
Servicios de Urología y Cirugía Pediátrica, Hospital Universitario Virgen del Rocío, Sevilla, España.
Arch Esp Urol. 2004 Sep;57(7):759-61.
To report the case of a 7-year-old patient with high flow priapism solved with conservative treatment.
We performed history and physical examination, complementary tests including general blood tests (serum ions, hemogram and coagulation tests), peripheral blood smear, Doppler ultrasound and selective arteriography which led to the diagnosis of high flow priapism. Due to the absence of arteriovenous fistula conservative treatment was chosen.
Patient improved clinically after five days, with penile detumescence and spontaneous erections were preserved.
Conservative treatment is a valid option in patients with arterial priapism, mainly in those cases in whom performing embolization of a small fistula seen on arteriography is not possible or when such AV communication is not demonstrated.
