Delayed high flow priapism: Pathophysiology and management

R. Ricciardi, G. M. Bhatt, J. Cynamon, C. W. Bakal, A. Melman, R. J. Krane

Research output: Contribution to journalArticle

64 Scopus citations

Abstract

Two cases of the management and pathophysiology of high flow arterial priapism are presented. Both cases were post-traumatic with delayed onset of priapism and both had angiographically diagnosed arteriocorporeal fistulas. Case 1 was managed with selective cavernous artery ligation and case 2 resolved spontaneously, both with excellent return of premorbid levels of erectile function. We propose that the pathophysiological mechanism involves injury to the intracavernous artery, causing ischemic necrosis. After a delay the arterial segment blows out, leading to unregulated blood flow into the corpus cavernosum. Management with surgical ligation is highly selective and nondisruptive to unaffected vessels, offering precise control of the bleeding vessel.

Original languageEnglish (US)
Pages (from-to)119-121
Number of pages3
JournalJournal of Urology
Volume149
Issue number1
DOIs
StatePublished - Jan 1 1993

Keywords

  • penile erection
  • priapism
  • vascular diseases
  • vascular surgery
  • wounds and injuries

ASJC Scopus subject areas

  • Urology

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    Ricciardi, R., Bhatt, G. M., Cynamon, J., Bakal, C. W., Melman, A., & Krane, R. J. (1993). Delayed high flow priapism: Pathophysiology and management. Journal of Urology, 149(1), 119-121. https://doi.org/10.1016/S0022-5347(17)36017-2