High-flow priapism in a 12-year-old boy: Treatment with superselective embolization

High-flow priapism in a 12-year-old boy: Treatment with superselective embolization

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Priapism is caused by an imbalance between penile blood inflow and outflow.There are two types of priapism: low-flow priapism due to venous occlusion and high-flow priapism due to uncontrolled arterial flow to the veins.High-flow priapism most frequently occurs as a Suspension Control Arm Bolt result of penile trauma in which the intercavernosal artery disruption causes an arteriocavernosal fistula.It is rarely encountered in the pediatric and prepubertal population.

Clinically, it manifests ACU as a painless, prolonged erection after perineal trauma.Treatment ranges from expectant management to open surgical exploration with vessel ligation.We report the successful treatment of high-flow priapism in a 12-year-old prepubertal boy with superselective embolization.