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
Jazyk angličtina Země Německo Médium print-electronic
Typ dokumentu kazuistiky, časopisecké články
PubMed
29687468
DOI
10.1111/and.13019
Knihovny.cz E-zdroje
- Klíčová slova
- arterial-lacunar fistula, conservative management, high-flow priapism, persistent fistula,
- MeSH
- arterie MeSH
- dospělí MeSH
- erekce penisu MeSH
- erektilní dysfunkce etiologie terapie MeSH
- lidé MeSH
- penis krevní zásobení MeSH
- píštěle MeSH
- priapismus komplikace terapie MeSH
- regionální krevní průtok MeSH
- terapeutická embolizace MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- mužské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- kazuistiky 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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