According to the literature, straddle injuries of the perineum may result i
n arteriosinusoidal fistula and secondary high-flow priapism, We report a c
ase of a 23-year-old man who developed a traumatic pseudoaneurysm of the ca
vernosal artery, secondary to straddle injury, and presented with painless
priapism, It was treated successfully with superselective microcoil emboliz
ation and the priapism resolved, Copyright (C) 2000 S. Karger AG, Basel.