Therapeutic Embolization for Treating Erectile Dysfunction Secondary to Priapism: A Case Report

Ming-Kuan Zhou, Jing-Wei Yu, Shi-Ying Long, Yong Gao, Xin Feng, Fu-Lin Wang, Xiang- Zhou Sun, Chun-Hua Deng, Xiang-An Tu and Jin-Tao Zhuang

Department of Urology, The Eastern Hospital of the First Affiliated Hospital, Sun Yat-sen University, China
Department of Urology, The Seventh Affiliated Hospital of Sun Yat-sen University, China
Department of Andrology, The First Affiliated Hospital of Sun Yat-sen University, China
Reproductive Medicine Center, The First Affiliated Hospital of Sun Yat-sen University, China
These authors contributed equally to this work

^*Correspondance to: Xiang-An Tu 

 PDF  Full Text DOI: 10.25107/2474-1647.2640

Abstract

Priapism is a less common disease in urology. Non-ischemic priapism does not require emergency management and can be treated conservatively. The deficiency of this treatment is that some of these patients may experience Erectile Dysfunction (ED). In this case, ED occurred 2 months after conservative treatment of priapism, and an arteriovenous fistula in the right cavernous of the penis was found by Color Doppler Ultrasound (CDU). Digital Subtraction Angiography (DSA) was performed to determine the location of the fistula, and microcoils were placed to block the fistula for treatment. Erectile function was restored satisfactorily after therapeutic embolization. When reviewing 1 year after surgery, the IIEF-5 score was 19 and the patient had satisfactory erections. Selective arterial embolization is still an effective treatment for erectile dysfunction secondary to priapism.

Keywords

Priapism; Secondary erectile dysfunction; Embolization; Treatment

Cite the article

Zhou M-K, Yu J-W, Long S-Y, Gao Y, Feng X, Wang F-L, et al. Therapeutic Embolization for Treating Erectile Dysfunction Secondary to Priapism: A Case Report. Clin Surg. 2019; 4: 2640.