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CASE REPORT
Year : 2009  |  Volume : 25  |  Issue : 4  |  Page : 539-540

High-flow priapism in a 12-year-old boy: Treatment with superselective embolization


1 Urology Unit, Department of Surgery, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, 16150-Kubang Kerian, Malaysia
2 Urology Unit, Department of Radiology, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, 16150-Kubang Kerian, Malaysia

Correspondence Address:
A R Mossadeq
60, Viswashanthi Nagar Post & Telegraph Nagar, Madurai-625017, India

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-1591.57918

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Priapism is caused by an imbalance between penile blood inflow and outflow. There are two types of priapism: low-flow priapism due to venous occlusion and high-flow priapism due to uncontrolled arterial flow to the veins. High-flow priapism most frequently occurs as a result of penile trauma in which the intercavernosal artery disruption causes an arteriocavernosal fistula. It is rarely encountered in the pediatric and prepubertal population. Clinically, it manifests as a painless, prolonged erection after perineal trauma. Treatment ranges from expectant management to open surgical exploration with vessel ligation. We report the successful treatment of high-flow priapism in a 12-year-old prepubertal boy with superselective embolization.


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