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Treatment of High-flow Priapism with Superselective Transcatheter Embolization in 27 Patients: A Multicenter Study

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Author(s)
Kyung Rae KimJi Hoon ShinHo-Young SongGi-Young KoHyun-Ki YoonKyu-Bo SungTae-Young AhnChang Won KimYoung Hwan KimHeung-Kyu KoByung Kook KwakHyung Jin ShimHwan-Hoon ChungSung Wook ShinJae-Ik Bae
Keimyung Author(s)
Kim, Young Hwan
Department
Dept. of Radiology (영상의학)
Journal Title
Journal of Vascular and Interventional Radiology
Issued Date
2007
Volume
18
Issue
10
Abstract
Purpose:

To evaluate the effectiveness and safety of treatment of high-flow priapism (HFP) with superselective transcatheter embolization at nine university hospitals.


Materials and Methods:

Between May 1994 and October 2006, 27 patients underwent superselective embolization of the cavernous artery for HFP. Trauma was apparent in 22 patients, there was self-administered intracavernosal injection for erectile dysfunction in two, and the remaining three did not recall any penile or perineal trauma. The embolic agents used were autologous blood clot (n = 12), gelatin sponge (n = 12), microcoils combined with gelatin sponge (n = 1), polyvinyl alcohol (n = 1), and N-butyl cyanoacrylate (n = 1). Recurrence of priapism and change in erectile function were evaluated during a mean follow-up of 13 months. Differences in results between patients treated with autologous blood clot versus gelatin sponge were statistically analyzed with use of the χ2 test.


Results:

In 24 of 27 patients (89%), a single embolization was sufficient for complete resolution of priapism. Repeat embolization was required in two patients (7%), and in the remaining patient (4%), shunt surgery was performed after embolization as a result of HFP coexisting with corporeal venoocclusive dysfunction. Eighteen of 23 patients (78%) who had premorbid normal erectile function showed maintained potency during the follow-up period. There was no significant difference affecting required repeat embolization (P = .537) and change in quality of erection (P = .615) during the follow-up period between the autologous blood clot and gelatin sponge treatment groups.


Conclusions:

Superselective transcatheter embolization in the treatment of HFP is effective and ensures a high level of preservation of premorbid erectile function.
Keimyung Author(s)(Kor)
김영환
Publisher
School of Medicine
Citation
Kyung Rae Kim et al. (2007). Treatment of High-flow Priapism with
Superselective Transcatheter Embolization in 27
Patients: A Multicenter Study. Journal of Vascular and Interventional Radiology, 18(10), 1222–1226. doi: 10.1016/j.jvir.2007.06.030
Type
Article
ISSN
1051-0443
Source
https://www.sciencedirect.com/science/article/pii/S1051044307009797?via%3Dihub
DOI
10.1016/j.jvir.2007.06.030
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/34303
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Radiology (영상의학)
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