Department of Radiology, Karadeniz Technical University School of Medicine, Trabzon, Turkey.
Diagn Interv Radiol. 2009 Sep;15(3):215-20.
To review our experience with embolic materials used in the selective arterial embolization of high-flow priapism and present the results of long-term follow-up.
Eight patients with traumatic high-flow priapism were reviewed. The patients were evaluated with clinical findings, laboratory examinations, and imaging findings including color Doppler ultrasonography and angiography. Diagnostic angiography demonstrated a connection between the cavernosal artery and the corpus cavernosum. Fistulas were embolized using autologous blood clot, polyvinyl alcohol particles, detachable coils, or acrylic glue. One or more procedures per patient were needed to achieve success.
Eleven embolization procedures were performed in eight patients. Immediate resolution of priapism was obtained after the procedures. Three patients (37.5%) had recurrence of priapism in the subsequent 1-3 weeks and required a repeat procedure. After the final procedures, all patients had complete resolution of priapism. Normal recurrence of erectile function was obtained in six of the patients (75%) after the final embolization.
Selective arterial embolization is a useful therapeutic option in the management of patients with high-flow priapism. Various materials can be used successfully as embolizing agents in the procedures according to the patient's status.
回顾我们在选择性动脉栓塞治疗高流量阴茎异常勃起中使用栓塞材料的经验，并介绍长期随访结果。
回顾了 8 例创伤性高流量阴茎异常勃起患者。通过临床检查、实验室检查和影像学检查（包括彩色多普勒超声和血管造影）评估患者。诊断性血管造影显示海绵体动脉与海绵体之间存在连接。使用自体血凝块、聚乙烯醇颗粒、可脱卸线圈或丙烯酸胶对瘘进行栓塞。每位患者需要进行 1 次或多次手术才能获得成功。
8 例患者共进行了 11 次栓塞手术。手术后立即解决了阴茎异常勃起问题。3 例患者（37.5%）在随后的 1-3 周内出现阴茎异常勃起复发，需要再次进行手术。最后一次手术后，所有患者的阴茎异常勃起均完全缓解。6 例患者（75%）在最后一次栓塞后勃起功能正常恢复。
选择性动脉栓塞是治疗高流量阴茎异常勃起患者的一种有效治疗选择。根据患者的情况，可成功使用各种材料作为栓塞剂进行手术。
