Ea. Gonzalez et al., HIGH-FLOW PRIAPISM AFTER BLUNT PERINEAL TRAUMA - RESOLUTION WITH BUCRYLATE EMBOLIZATION, The Journal of urology, 151(2), 1994, pp. 426-428
We report on 2 patients (ages 21 and 33 years) with high flow priapism
secondary to arteriocavernous fistula produced by perineal injury. Bo
th cases were satisfactorily resolved by super-selective embolization
of the fistula with bucrylate. Diagnosis was based on the results of g
asometry in cavernous blood, color Doppler ultrasound and arteriograph
y. Erectile function after 24 and 30 months of treatment, respectively
, was normal in both patients. Review of the literature revealed that
only 13 patients have been managed with arterial embolization. To our
knowledge our report represents the first in which intracavernous bucr
ylate embolization produced detumescence with preservation of erectile
function.