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Urol Ann. 2020 Jan-Mar;12(1):103-105. doi: 10.4103/UA.UA_45_19. Epub 2019 Nov 7.

High-flow priapism treated with selective embolization of a helicine branch of the penile artery: A case report and selected review of the literature.

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Division of Urology, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA.
Community Medical Center, Toms River, NJ, USA.


High-flow, or nonischemic, priapism occurs in <5% of observed clinical presentations of all priapism and is characterized by prolonged, painless erection in the context of pelvic and genitourinary trauma. While conservative management can be safely attempted for many cases of high-flow priapism (HFP), selective embolization is becoming the preferred approach as it allows for rapid resolution. We, herein, present a case of a 42-year-old male patient who presented with trauma-induced HFP treated with selective embolization and briefly review the current literature regarding the management of HFP.


High-flow priapism; nonischemic priapism; selective arterial embolization

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