Selective penile artery angioembolization for high flow priapism - a step-by-step overview for the non-radiologist.

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.