Spontaneous detumescence and full restoration of erection in a patient with high-flow priapism with persistent arterial-lacunar fistula after repeated selective embolisation-A case report
Language English Country Germany Media print-electronic
Document type Case Reports, Journal Article
PubMed
29687468
DOI
10.1111/and.13019
Knihovny.cz E-resources
- Keywords
- arterial-lacunar fistula, conservative management, high-flow priapism, persistent fistula,
- MeSH
- Arteries MeSH
- Adult MeSH
- Penile Erection MeSH
- Erectile Dysfunction etiology therapy MeSH
- Humans MeSH
- Penis blood supply MeSH
- Fistula MeSH
- Priapism complications therapy MeSH
- Regional Blood Flow MeSH
- Embolization, Therapeutic MeSH
- Check Tag
- Adult MeSH
- Humans MeSH
- Male MeSH
- Publication type
- Journal Article MeSH
- Case Reports MeSH
High-flow priapism is a rare condition mainly caused by perineal trauma. Laceration of cavernosal artery results in a formation of arterial-lacunar fistula with unregulated blood flow causing prolonged erection. We present a case of a 25-year-old man with high-flow priapism and concurrent erectile dysfunction treated with repeated selective embolisation with only a partial effect. When no further embolisation was possible, we assumed on conservative management even through the fistula was still present. Spontaneous detumescence occurred 9 months, and erectile function has fully restored 24 months after the injury. To the best of our knowledge, spontaneous detumescence with full restoration of erection even through the persistent arterial-lacunar fistula has not been reported previously. Therefore, we propose conservative approach after embolisation to be an option.
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