Abstract
High flow or arterial priapism is rare, caused by unregulated arterial blood flow from a lacerated cavernous artery or branch entering directly into lacunar spaces, bypassing the protective, high resistance helicine arterioles and resulting in an arterial-lacunar fistula (ALF) and usually occurs following direct blunt or penetrating perineal trauma. Clinical features include delayed onset of a constant, painless, nontender erection of incomplete rigidity with potential for full rigidity with sexual stimulation. Colour duplex Doppler ultrasonography (CDU) is reliable in the diagnosis of arterial priapism. Treatment by arterial ligation, super-selective embolisation with autologous clot, gelatin sponge or microcoil, duplex guided compression, systemic or intracavernous administration of a variety of α-adrenergic agents or methylene blue, mechanical compression/ice packs or expectant management has been reported.
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References
Hauri D, Spycher M, Bruhlmann W . Erection and priapism: a new physiopathological concept Urol Int 1983 38: 138–145
Witt MA et al. Traumatic laceration of intracavernosal arteries: the pathophysiology of nonischemic, high flow, arterial priapism J Urol 1990 143: 129–132
Feldstein VA . Posttraumatic ‘high-flow’ priapism evaluation with color flow Doppler sonography J Ultrasound Med 1993 12: 589–593
Bastuba MD et al. Arterial priapism: diagnosis, treatment and long-term follow-up J Urol 1994 151: 1231
Spycher MA, Hauri D . The ultrastructure of the erectile tissue in priapism J Urol 1986 135: 142–147
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McMahon, C. High flow priapism due to an arterial-lacunar fistula complicating initial veno-occlusive priapism. Int J Impot Res 14, 195–196 (2002). https://doi.org/10.1038/sj.ijir.3900828
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DOI: https://doi.org/10.1038/sj.ijir.3900828
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