Selective embolization for arterial priapism: A report of 5 cases
XIE Min-kai
ZHENG Da-chao
LIU Chong
YAO Hai-jun
WANG Zhong
Abstract：Objective:To introduce our experience in the treatment of arterial priapism by superselective embolization.Methods:This study included 5 cases of perineal trauma-induced arterial erectile dysfunction treated in our departmentbetween February 2011 and May 2015,all failingpreviously to respond to 3 weeks of conservative treatment.The patients were aged 25-47 (mean 35) years,with the onset of arterial priapism at 2-5 days after trauma,and all subjected to physical examination,blood gas analysis,color Doppler ultrasonography of the corpora cavernosum,and IIEF-5 scoring.All the patients underwent superselective embolization,followed by local pressing and cold compression,and IIEF-5 scores were obtained again at 6 and 12 months postoperatively.Results:All the patients had normal erectile functionbefore trauma,with a mean IIEF-5 scoreof 24.60 ± 0.55.Complete detumescenceor painless flaccidity of the penis was achieved in 1 case immediately after surgery and in the other 4 after 3-17 days of postoperative conservative treatment.None of the patients needed a second embolization and no relapse was found during a mean follow-upof 27.2 (13-48) months.The IIEF-5 scores obtained at 6 (24.00 ± 1.02) and 12 months (24.20 ± 0.82) were normal,with no statistically significant differencesfrom that before trauma.Conclusion:Selective embolization is a safe and effective option for the treatment of arterial priapism.In case of no immediate painless flaccidity of the penis after surgery,conservative treatment can be extended rather than a second operation.
Keywords：arterial priapismselective embolizationerectile dysfunction
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 59-61 )