Case reports
Bilateral superselective arterial microcoil embolisation in
delayed post-traumatic high flow priapism
S Gujrala, R P MacDonaghb, P M Cavanagha
a Taunton and
Somerset Hospital NHS Trust, Musgrove Park, Taunton, Somerset, UK, b Taunton
and Somerset Hospital NHS Trust and University of Bristol, UK
Correspondence to: Mr S Gujral, Bristol Urological Institute, Southmead Hospital, Westbury-on-Trym, Bristol BS10 5NB, UK ssguj{at}aol.com
Submitted 14 February
2000;
Accepted 1 August 2000
High flow arteriogenic priapism is uncommon and usually occurs
after trauma to the genitoperineal area. The onset of prolonged erection can be delayed and is often relatively pain free.
Arteriography in this case illustrated the causative bilateral
arteriocavernosal fistulae and pseudoaneurysms. Treatment consisted
of staged bilateral superselective metallic microcoil embolisations,
resulting in prompt detumescence. There were no complications. The
patient had normal erectile function six months later. Recent concerns about erectile dysfunction with the bilateral use of permanent metallic
coils appear to be unfounded.
Keywords: trauma; high flow priapism; superselective embolisation; metallic microcoils
© 2001 by The Fellowship of Postgraduate Medicine
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