High-flow priapism; a combined interventional approach and watchful waiting for seudoaneurysm and cavernosal arterial-lacunar fistula

Abstract

Priapism is an uncommon disease and defined as full or partial erection that persists beyond 4 hours and is not related to sexual stimulation. We are presenting a 33-year-old man with high-flow priapism after penile trauma when falling accidentally on an iron pipe. The patient had both arterio-lacunar fistula (ALF) and pseudoaneurysm in ultrasonography and pudendal angiography that successfully treated by super-selective embolization for pseudoaneurysm and watchful waiting for arterio-lacunar.

Keywords: Pseudoaneurysm, Priapism, Cavernosal artery