Post-traumatic high-flow priapism treated by endovascular embolization using N-butyl-cyanoacrylate

被引:6
作者
Rados, Marko [1 ]
Sunjara, Vice [1 ]
Sjekavica, Ivica [1 ]
Padovan, Ranka Stern [1 ]
机构
[1] Univ Hosp Ctr Zagreb, Univ Dept Diagnost & Intervent Radiol, Zagreb, Croatia
关键词
priapism; endovascular embolization; angiography; Doppler duplex ultrasonography; MRI angiography;
D O I
10.2478/v10019-010-0024-x
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Background. Priapism, persistent erection without arousal, can be classified into low-flow (venous or ischemic) and high-flow (arterial or non-ischemic). The diagnosis of high-flow priapism can be confirmed by colour Doppler and arteriography and it is usually treated by the endovascular embolization. Case report. We present a case of a 20-year-old man with a post-traumatic high-flow priapism as a result of the previous perineal trauma. After a period of watchful waiting and an unsuccessful attempt at endovascular embolization using the resorptive gelatinous foam he was successfully treated by the endovascular embolization using N-butyl-cyanoacrylate. Conclusions. High-flow priapism can be successfully treated by the endovascular embolization, but the optimal choice of the embolization agent and a careful technique is essential.
引用
收藏
页码:103 / 106
页数:4
相关论文
共 10 条
[1]   Traumatic high-flow priapism: Treatment with super-selective micro-coil embolization [J].
Abujudeh H. ;
Mirsky D. .
Emergency Radiology, 2005, 11 (6) :372-374
[2]  
FELDSTEIN VA, 1993, J ULTRAS MED, V12, P589
[3]   Endovascular therapy for priapism secondary to perineal trauma [J].
Fratezi, AC ;
Martins, VM ;
Porta, RMP ;
Prado, MA ;
Prota, R ;
Caldus, JG ;
Cerri, G .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2001, 50 (03) :581-584
[4]   Treatment of complicated case with subclavia steal syndrome and stenosis of common iliac artery [J].
Gjikolli, Bujar ;
Hadzihasanovic, Besima ;
Jaganjac, Suad ;
Herceglija, Edin ;
Niksic, Maida ;
Hadzimehmedagic, Amel ;
Dilic, Mirza ;
Solakovic, Emir ;
Merhemic, Zulejha ;
Beslic, Serif ;
Lincender, Lidija ;
Miftari, Rame .
RADIOLOGY AND ONCOLOGY, 2008, 42 (01) :1-12
[5]   Evolving concepts in the diagnosis and treatment of arterial high flow priapism [J].
Hakim, LS ;
Kulaksizoglu, H ;
Mulligan, R ;
Greenfield, A ;
Goldstein, I .
JOURNAL OF UROLOGY, 1996, 155 (02) :541-548
[6]   Management strategy for arterial priapism: Therapeutic dilemmas [J].
Hatzichristou, D ;
Salpiggidis, G ;
Hatzimouratidis, K ;
Apostolidis, A ;
Tzortzis, V ;
Bekos, A ;
Saripoulos, D .
JOURNAL OF UROLOGY, 2002, 168 (05) :2074-2077
[7]   Deep dorsal vein embolization with N-butyl-2-cyanoacrylate and lipiodol mixture in venogenic erectile dysfunction: early and late results [J].
Kutlu, Ramazan ;
Soylu, Ahmet .
RADIOLOGY AND ONCOLOGY, 2009, 43 (01) :17-25
[8]   Posttraumatic high flow priapism: Successful management using duplex guided compression [J].
Mabjeesh, NJ ;
Shemesh, D ;
Abramowitz, HB .
JOURNAL OF UROLOGY, 1999, 161 (01) :215-216
[9]   Treatment of "high-flow" priapism with superselective transcatheter embolization: A useful alternative to surgery [J].
O'Sullivan, P ;
Browne, R ;
McEniff, N ;
Lee, MJ .
CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY, 2006, 29 (02) :198-201
[10]   Sexual function after highly selective embolization of cavernous artery in patients with high flow priapism: Long-term followup [J].
Savoca, G ;
Pietropaolo, F ;
Scieri, F ;
Bertolotto, M ;
Mucelli, FP ;
Belgrano, E .
JOURNAL OF UROLOGY, 2004, 172 (02) :644-647