High-flow priapism in a 12-year-old boy: Role of super-selective embolization
Priapism is caused by an imbalance between penile blood inflow and outflow. There are two types, low flow priapism due to venous occlusion and high flow priapism due to uncontrolled arterial flow to the veins. High flow priapism most frequently occurs as a result of penile trauma where the interc...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English English |
| Published: |
Universiti Sains Malaysia
2008
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/43081/ http://irep.iium.edu.my/43081/ http://irep.iium.edu.my/43081/3/43081.pdf http://irep.iium.edu.my/43081/4/mjms_content_-_supp_2008.pdf |
| Summary: | Priapism is caused by an imbalance between penile blood inflow and
outflow. There are two types, low flow priapism due to venous occlusion and high
flow priapism due to uncontrolled arterial flow to the veins. High flow priapism most
frequently occurs as a result of penile trauma where the intercavernosal artery
discruption causes an arteriocavernosal fistula. It is rarely encountered in the pediatric
and pre-pubertal population. Clinically it manifests as a painless, prolonged erection
after perineal trauma. Treatment has ranged from expectant management to open
surgical exploration with vessel ligation. We report the successful treatment of high
flow priapism in a 12 year old pre-pubertal boy with superselective embolisation |
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