Format

Send to

Choose Destination
Zhonghua Nan Ke Xue. 2018 Janurary;24(1):59-61.

[Selective embolization for arterial priapism: A report of 5 cases].

[Article in Chinese; Abstract available in Chinese from the publisher]

Author information

1
Department of Urology, The 9th People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China.

Abstract

in English, Chinese

Objective:

To introduce our experience in the treatment of arterial priapism by superselective embolization.

METHODS:

This study included 5 cases of perineal trauma-induced arterial erectile dysfunction treated in our departmentbetween February 2011 and May 2015, all failingpreviously to respond to 3 weeks of conservative treatment. The patients were aged 25-47 (mean 35) years, with the onset of arterial priapism at 2-5 days after trauma, and all subjected to physical examination, blood gas analysis, color Doppler ultrasonography of the corpora cavernosum, and IIEF-5 scoring. All the patients underwent superselective embolization, followed by local pressing and cold compression, and IIEF-5 scores were obtained again at 6 and 12 months postoperatively.

RESULTS:

All the patients had normal erectile functionbefore trauma, with a mean IIEF-5 scoreof 24.60 ± 0.55. Complete detumescenceor painless flaccidity of the penis was achieved in 1 case immediately after surgery and in the other 4 after 3-17 days of postoperative conservative treatment. None of the patients needed a second embolization and no relapse was found during a mean follow-upof 27.2 (13-48)months. The IIEF-5 scores obtained at 6 (24.00 ± 1.02) and 12 months (24.20 ± 0.82) were normal, with no statistically significant differencesfrom that before trauma.

CONCLUSIONS:

Selective embolization is a safe and effective option for the treatment of arterial priapism. In case of no immediate painless flaccidity of the penis after surgery, conservative treatment can be extended rather than a second operation.

KEYWORDS:

erectile dysfunction ; selective embolization; arterial priapism

PMID:
30157362
[Indexed for MEDLINE]

Supplemental Content

Loading ...
Support Center