Abstract:
PURPOSE:To evaluate selective embolization for management of posttraumatic priapism in preadolescent boys and color Doppler sonography for diagnosis of the causative lesion and for planning embolization. MATERIALS AND METHODS:Five preadolescent boys with posttraumatic priapism underwent selective angiography and embolization. Color Doppler sonography was performed in the last three patients. RESULTS:Selective angiography showed an intracavernosal arteriovenous fistula in two patients, pseudoaneurysm of the cavernosal artery in two patients, and asymmetric cavernosal arterial flow in the other patient. After successful embolization, detumescence was achieved in all patients. Color Doppler sonography enabled localization and characterization of the lesion causing the priapism in the three patients. CONCLUSION:Angiography with selective embolization is a safe and effective method to correct posttraumatic priapism in children. Color Doppler sonography is a valuable preangiographic study, as it allows for characterization and localization of the causative lesion and obviates diagnostic cavernosal aspiration.
journal_name
Radiologyjournal_title
Radiologyauthors
Miller SF,Chait PG,Burrows PE,Steckler RE,Khoury AE,McLorie GA,Connolly BL,Pereira JKdoi
10.1148/radiology.196.1.7784590subject
Has Abstractpub_date
1995-07-01 00:00:00pages
59-62issue
1eissn
0033-8419issn
1527-1315journal_volume
196pub_type
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