혈관색전술로 치료된 외상 후 발생한 고혈류성 음경발기지속증
박주현, 정승환, 손환철*
Post-Traumatic High Flow Priapism Treated by Embolization: A Case Report
Juhyun Park, Seung-hwan Jeong, Hwancheol Son*
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Department of Urology, SMG-SNU Boramae Medical Center
Department of Urology, College of Medicine, Seoul National University
Corresponding Author : (우) 156-707 서울특별시 동작구 보라매로 5길 20 서울대학교병원운영 서울특별시보라매병원 비뇨기과학교실, 손환철, E-mail: firstname.lastname@example.org
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Published Online: Nov 30, 2014
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