Superselective Embolization with Microcoil and Gelfoam for High-Flow Priapism Secondary to Bilateral Cavernous Fistulae: A Case Study
Joint Authors
Prattley, Sarah
Bryant, Timothy
Rees, Rowland
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-04-16
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Background.
High-flow priapism is rare, and bilateral arteriocavernous fistulae formation following trauma is rarer still.
Management of high-flow priapism is conservative either through observation, use of ice packs, mechanical decompression, or intracavernosal injection of α-adrenergic agonists, giving temporary results in selected cases.
Alternatively, superselective arteriography with embolization is widely accepted.
However, intervention needs to be mindful of the potential impact on long-term potency.
We report the first case of bilateral arteriocavernous fistulae managed with both Gelfoam and microcoil embolization.
Case Study.
We present the case of a 35-year-old gentleman who attended the emergency department nine days following a fall from a moped, where he sustained bruising to his perineum, with persistent nonpainful erection.
CT angiogram demonstrated bilateral arteriovenous fistulas.
Management with superselective catheterisation and embolization with Gelfoam and microcoil was successful with resolution of symptoms.
Long-term follow-up has shown return to normal erectile function twelve months following the injury.
Outcomes.
Concern regarding the effect to long-term erectile function has previously led to delayed bilateral embolization.
Selection of embolization material can be tailored to the anatomical features of the fistula to help preserve function.
American Psychological Association (APA)
Prattley, Sarah& Bryant, Timothy& Rees, Rowland. 2019. Superselective Embolization with Microcoil and Gelfoam for High-Flow Priapism Secondary to Bilateral Cavernous Fistulae: A Case Study. Case Reports in Urology،Vol. 2019, no. 2019, pp.1-4.
https://search.emarefa.net/detail/BIM-1145383
Modern Language Association (MLA)
Prattley, Sarah…[et al.]. Superselective Embolization with Microcoil and Gelfoam for High-Flow Priapism Secondary to Bilateral Cavernous Fistulae: A Case Study. Case Reports in Urology No. 2019 (2019), pp.1-4.
https://search.emarefa.net/detail/BIM-1145383
American Medical Association (AMA)
Prattley, Sarah& Bryant, Timothy& Rees, Rowland. Superselective Embolization with Microcoil and Gelfoam for High-Flow Priapism Secondary to Bilateral Cavernous Fistulae: A Case Study. Case Reports in Urology. 2019. Vol. 2019, no. 2019, pp.1-4.
https://search.emarefa.net/detail/BIM-1145383
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1145383