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 Lights (Led) occlusion and high-flow priapism due to uncontrolled arterial flow to the veins.High-flow priapism most frequently occurs as a 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 as a painless, prolonged erection after perineal trauma.Treatment ranges from expectant management to open RESPIR ESSENCE surgical exploration with vessel ligation.We report the successful treatment of high-flow priapism in a 12-year-old prepubertal boy with superselective embolization.