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KMID : 0356420020200020106
Journal of Korean Andrology
2002 Volume.20 No. 2 p.106 ~ p.109
High Flow Priapism Treated by Repeated Embolization
Lee Jung-Hun

Lee Jong-Wook
Han Kyu-Hung
Kang Jeong-Yoon
Cho Seong-Bum
Jeong Jeong-Yun
Abstract
We describe a case of priapism after perineal blunt trauma in a 32-year old man who complained of painless and persistent erection. We confirmed high-flow priapism by cavernosal blood gas analysis, Doppler ultrasonography, and arteriography. A pseudoaneurysm was blocked by selective carvernosal artery embolization with autologous clot. Penile tumescence did not completely disappear during the following 4 weeks, and the patient complained of penile discomfort. Reembolization of the cavernosal artery with autologous clot was successful in reversing the erection. The patient has normal erectile status and no complaints during 30 months follow-up.
KEYWORD
Priapism
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