We report a case of high flow priapism observed last year. The diagnosis was essentially made through anamnesis (trauma) and echography. Afterwards superselective arteriography of the pudenda right artery showed an afferent branch to the right corpus cavernosum and the artero-cavernosum fistula. After the catheterisation of this branch, using a Berenstein 5 F catheter, we proceded with the injection of non-absorbable embolising material. The echoDoppler emphasised disappearance of the biphasic flow and after 30 days the patient reported the spontaneous recovery in sexual relations. The corpus cavernosum biopsy, done 3 months later, showed a fair fibrosis.
HauriD., SpycherM., BruhlmannW.: Erection and priapism:. a new physiopathological concept. Urol. Int., 38: 138, 1983.
2.
LueT.F., HellstomW.J.G: Priapism: A refined approach to diagnosis and treatment. J. Urol., 136: 104, 1986.
3.
WittM.A., GoldsteinI.: Traumatic laceration of intracavernosal arteries: the pathophysiology of nonischemic, high flow, arterial priapism. J. Urol., 143: 129–32, 1990.
4.
CarmignaniG., De StefaniS.: Priapismo post-traumatico ad alto flusso: embolizzazione selettiva dell'arteria cavernosa. VII SIA Milano91, Monduzzi Ed., 513.
5.
Padma-NathanH., GoldsteinI., KraneR.J.: Treatment of prolonged or priapistic erections following intracavernosal papaverine therapy. Sem. Urol., 4: 236, 1986.
6.
WheelerG.W., SimmonsC.R.: Angiography in post traumatic priapism: a case report. Amer. J. Roentgen., 119: 619, 1973.
7.
WearJ.B.jr., CrummyA.B., MunsonB.O.: A new approach to the treatment of priapism. J. Urol., 117: 252, 1976.
