Articles Vol. 63 No. chuyên đề 2-HN Y học Giới tính (2022) 18/11/2022

SELECTIVE ARTERIAL EMBOLISATION IN TREATMENT HIGH-FLOW PRIAPISM: A CASE REPORT

Tran Le Duy Anh1,2, Truong Hoang Minh1,2, Tran Thanh Phong1,2, Tran Thanh Vu1,2
1 115 People's Hospital
2 Bệnh viện Nhân Dân 115
Corresponding author: duyanh.urology@gmail.com
DOI: 10.52163/yhc.v63i7.485
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Keywords
Priapism, high-flow priapism, non-ischaemic priapism, low-flow priapism, ischaemic priapism.
Abstract

Introduction: Priapism is a rare condition, in which high-flow priapism is the least common
(<5%).
Methods: A high-flow priapism was diagnosed and treated by selective arterial embolisation
at People’s Hospital 115.
Results: A 57-year-old male was hospitalised with penile erection lasting 10 days. The
patient was examined and diagnosed with bilateral cavernosal arteries laceration. After
applying conservative management such as cold compress, perineal compression, the penile
erection still does not improve. The patient underwent selective arterial embolisation of
laceration cavernosal branches. Then the penile return to the normal detumescence state.
Discussions: Selective arterial embolisation is quite effective in this condition, the success
rate in some studies ranges between 61,7 and 83,3%, and erectile dysfunction (ED) rate
ranges from 8-33%.
Conclusion: Selective arterial embolisation in high-flow priapism is a minimally invasive,
safe, and effective method. However, the ED rate is still high.

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