Case Report

혈관색전술로 치료된 외상 후 발생한 고혈류성 음경발기지속증

박주현, 정승환, 손환철*
Juhyun Park, Seung-hwan Jeong, Hwancheol Son*
Author Information & Copyright
1서울특별시 보라매병원 비뇨기과학교실
2
1Department of Urology, SMG-SNU Boramae Medical Center
2Department of Urology, College of Medicine, Seoul National University
*Corresponding Author : (우) 156-707 서울특별시 동작구 보라매로 5길 20 서울대학교병원운영 서울특별시보라매병원 비뇨기과학교실, 손환철, E-mail: volley@snu.ac.kr

ⓒ Copyright 2019 Language Education Institute, Seoul National University. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: Nov 30, 2014

Abstract

Priapism, persistent erection without sexual arousal, can be classified into low-flow (venous or ischemic) and high-flow (arterial or non-ischemic). Perineal trauma is one of the most common causes of high-flow priapism. The clinical symptom of this disease is generally a prolonged, painless, and semi-rigid penile erection without any other urogenital symptoms. It can be confirmed by penile color Doppler ultrasonography and arteriography and it is usually treated by the super-selective embolization. We present a case of a 44-year-old man with a post-traumatic high-flow priapism as a result of the previous perineal trauma. After two-times of embolization by the autologous blood clot and the resorptive gelatinous foam, he was successfully treated.

Keywords: Embolization; Perineal Trauma; Priapism