Management of High-Flow Priapism: A Care Report and Review

Authors

  • Kriangkri Tangjitrmaneesakda Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700
  • Sunai Leewansangton Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700
  • Walailak Chaiyasoot Department of Radiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700
  • Anupan Tantiwong Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700

Keywords:

High-Flow Priapism

Abstract

A case of high-flow priapism was presented. Diagnosis was based on the history of painless and persistent erection for 20 days. Cavernous blood gas showed arterial type. The arteriocavernous fistula was detected by either a perineal duplex Doppler ultrasonography or an internal pudendal arteriography. The treatment of choice was selective embolization with a good result and no immediate complication. Detumescence was noticed within 10 days. Follow up of perineal and penile duplex Doppler ultrasonographies showed no turbulent flow and low inflow of cavernous blood. Erectile function partially recovered at 2 months after the treatment.

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Published

27-08-2020

How to Cite

Tangjitrmaneesakda, K. ., Leewansangton, S. ., Chaiyasoot, W. ., & Tantiwong, A. . (2020). Management of High-Flow Priapism: A Care Report and Review. Siriraj Medical Journal, 52(1), 53–58. Retrieved from https://he02.tci-thaijo.org/index.php/sirirajmedj/article/view/245737

Issue

Section

Case Report