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Post traumatic prepubertal high-flow priapism: a rare occurrence

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Abstract

High-flow or arterial priapism is an uncommon condition resulting from perineal or penile trauma. The classical features are a painless erection of the cavernous bodies while the corpus spongiosum stays flaccid. This case highlights a 11-year-old boy who presented with painless semi rigid erection of 3 days duration following a blunt skateboard injury to his perineum. Following failed conservative treatment, the patient underwent bilateral internal pudendal angiography with localization and embolization. Follow up in 1 month showed patient to have normal nocturnal and reflexogenic erections. Medical and surgical treatments for high-flow priapism have been described in literature with varying degree of success and complications. The current accepted standard of care is pelvic angiography and super-selective embolization of internal pudendal artery.

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Authors and Affiliations

  1. Department of Urology, Royal Newcastle Center, Newcastle, NSW, 2500, Australia

    Eric Chung, John McKnight & Bruce Hosken

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  1. Eric Chung
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  2. John McKnight
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  3. Bruce Hosken
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Correspondence to Eric Chung.

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Chung, E., McKnight, J. & Hosken, B. Post traumatic prepubertal high-flow priapism: a rare occurrence. Pediatr Surg Int 24, 379–381 (2008). https://doi.org/10.1007/s00383-007-1936-4

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  • DOI: https://doi.org/10.1007/s00383-007-1936-4

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