Journal of Postgraduate Medicine
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 CASE REPORT
Year : 2006  |  Volume : 52  |  Issue : 4  |  Page : 298-299

Spontaneous resolution of delayed onset, posttraumatic high-flow priapism


1 Department of Urology, All India Institute of Medical Sciences, New Delhi - 100 029, India
2 Department of Radiology, All India Institute of Medical Sciences, New Delhi - 100 029, India

Correspondence Address:
R Kumar
Department of Urology, All India Institute of Medical Sciences, New Delhi - 100 029
India
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Source of Support: None, Conflict of Interest: None


PMID: 17102552

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Priapism is an uncommon but serious condition with major long-term sequelae. The commoner, ischemicvariety is a medical emergency requiring immediate intervention in order to avoid erectile dysfunction. However,the high flow variety is non-ischemic and the patient may not seek immediate therapy. The options ofmanagement for this rare, painless form of priapism vary from conservative therapy to embolization of theinternal pudendal artery or, in some cases, surgery that may result in subsequent erectile dysfunction. Wepresent a case of a 24-year-old man who presented with priapism of six-day duration, 10 days after perinealinjury. Doppler ultrasonogram of the penis revealed a cavernosal artery pseudoaneurysm. Pudendal arteryangiogram done four days later revealed no leak and the priapism subsided spontaneously with subsequentreturn of normal erections.






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Online since 12th February '04
2004 - Journal of Postgraduate Medicine
Official Publication of the Staff Society of the Seth GS Medical College and KEM Hospital, Mumbai, India
Published by Wolters Kluwer - Medknow