Interventional treatment of traumatic priapism.

PURPOSE: To describe the effectiveness of transarterial embolization of traumatic priapism.

METHODS

Six patients ranging in age from 6 to 37 years with traumatic high-flow priapism underwent superselective embolization with gelatin sponges (n=3) or minicoils (n=3). Embolization was repeated up to 3 times.

RESULTS

Embolization was successful in all cases. In 2 patients, repeated embolization led to a flow reduction in the fistula, which spontaneously occluded a few days later. All patients experienced normal erections after intervention, and no side effects were observed.

CONCLUSIONS

Transarterial superselective embolization is an effective and well-tolerated therapy in patients with traumatic priapism.