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Case ReportOpen Access
Postsurgical High Flow Priapism Treated by Transarterial Embolizaion: A Case Report
Aphinives C 
,
Laopaiboon V ,
Chotikawanit A
,
Laopaiboon V ,
Chotikawanit A The authors report a case of painful priapism, caused by iatrogenic arterial injury from endoscopic internal
urethrotomy procedure for stricture urethra, which increased blood circulation in the penis. On physical examination, there
was sustained erection, turgid corpora, swelling of penis and prepuce and tenderness at the perineal area. Bilateral selective
internal iliac angiograms showed a prominent right internal pudendal artery and deep penile artery terminating in an arteriosinusoidal
fistula. This case was treated by superselective arterial embolization with Gelfoam pledgets and the treatment was
successfully carried out in one session. However, the patient sill had erectile dysfunction for six months. After that, the erectile
dysfunction gradually improved. Finally, the patient had normal erectile function one year after embolization.
Keywords: Priapism, Embolization
urethrotomy procedure for stricture urethra, which increased blood circulation in the penis. On physical examination, there
was sustained erection, turgid corpora, swelling of penis and prepuce and tenderness at the perineal area. Bilateral selective
internal iliac angiograms showed a prominent right internal pudendal artery and deep penile artery terminating in an arteriosinusoidal
fistula. This case was treated by superselective arterial embolization with Gelfoam pledgets and the treatment was
successfully carried out in one session. However, the patient sill had erectile dysfunction for six months. After that, the erectile
dysfunction gradually improved. Finally, the patient had normal erectile function one year after embolization.
Keywords: Priapism, Embolization
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