HIGH-FLOW PRIAPISM AFTER BLUNT PERINEAL TRAUMA - INTERVENTIONAL THERAPY

A 10-year old boy developed an arteriocavernosal fistula with a perman ent penile erection (high-flow priapism) after a blunt perineal trauma . The diagnosis was established by Doppler ultrasound, blood gas analy sis and angiography. A conservative treatment attempt with penile cool ing and puncture of the cavernosal corpera with blood aspiration and e tilefrine instillation failed to resolve the priapism. An embolization of both bulbocavernosal arteries was followed by an immediate detumes cence. Normal functional erection was preserved. No recurrence was obs erved during a follow-up of 6 months.