Zhao Yong-ping, Fu Li-jie, Yao Jia-pei, Zhou Zheng-lian, Liu Jian-ping
Department of Andrology, the First Affiliated Hospital of Kunming Medical College, Kunming, Yunnan 650032, China.
Zhonghua Nan Ke Xue. 2005 Mar;11(3):210-2.
To evaluate the diagnosis and treatment of high-flow priapism (HFP).
Four cases of HFP following blunt trauma to the penis or perinea underwent diagnostic examination by colour-flow Doppler ultrasound and/or superselective pudendal arteriography, which revealed bilateral arteriocorporal fistula in 1 case and monolateral in the other 3. Penile detumescence was obtained in 2 cases by superselective bilateral/monolateral arteriographic embolization of the pudendal artery with absorbable gelatin
The former 2 cases effected an immediate recovery of the sponge, while the other 2 cases received conservative treatment. Erectile function, able to perform normal sexual intercourse in approximately 2 months. But in the latter 2, follow-up revealed unsatisfactory potency.
Superselective arteriographic embolization with absorbable gelatin sponge can provide a safe, selective and effective treatment for HFP patients.
