The journal of sexual medicine · 2025
Selective penile artery angioembolization for high flow priapism - a step-by-step overview for the non-radiologist.
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Bretzman John P, Ziegelmann Matthew J, Reisenauer Chris J
Аннотация
INTRODUCTION: Selective angioembolization for high flow priapism (Step-by-step guide).
AIM: Describe the indications and techniques of angioembolization for high flow priapism.
METHODS: We outline patient selection, preparation, technique, outcomes, and potential complications of angioembolization for high flow priapism as supported by the literature.
MAIN OUTCOME MEASURE: The effectiveness of embolization for treating high flow priapism.
RESULTS: Transarterial embolization is minimally invasive, low risk, and effective method from managing high flow priapism. Success rates range from 70% to 87% depending on the type of agent used for embolization. Side effects include erectile dysfunction with a reported rate of 7%-19%. Complications may be mitigated by embolizing as selectively as possible and using temporary embolic agents.
CONCLUSION: Embolization is a safe and effective treatment for nonischemic, high flow priapism in patients who have not responded to conservative management.
AIM: Describe the indications and techniques of angioembolization for high flow priapism.
METHODS: We outline patient selection, preparation, technique, outcomes, and potential complications of angioembolization for high flow priapism as supported by the literature.
MAIN OUTCOME MEASURE: The effectiveness of embolization for treating high flow priapism.
RESULTS: Transarterial embolization is minimally invasive, low risk, and effective method from managing high flow priapism. Success rates range from 70% to 87% depending on the type of agent used for embolization. Side effects include erectile dysfunction with a reported rate of 7%-19%. Complications may be mitigated by embolizing as selectively as possible and using temporary embolic agents.
CONCLUSION: Embolization is a safe and effective treatment for nonischemic, high flow priapism in patients who have not responded to conservative management.