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Urologie pro praxi 1/2024
A rare case of high-flow priapism
High-flow priapism, also referred as non-ischemic or arterial priapism, accounts for only about 5% of all priapism cases. Its most common cause is a blunt perineal or penile trauma. The trauma results in laceration of cavernous artery or its branches, leading to the formation of a fistula between artery and lacunar spaces of cavernosal bodies. Increased blood flow results in persistent erection. This type of priapism can also be treated conservatively, but optimal time interval for initiating active interventional treatment remains a subject of discussions.
Keywords: high-flow priapism, perineal trauma, penile trauma, angiography, selective arterial embolization, erectile dysfunction.
