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Korean J Androl. 2002 Aug;20(2):106-109. Korean. Case Report.
Lee JH , Lee JW , Han KH , Cho JM , Kang JY , Cho SB , Jeong JY .
Depatrment of Urology, Eulji University School of Medicine, Seoul, Korea. jjy5204@eulji.or.kr
Depatrment of Radiology, Eulji University School of Medicine, Seoul, Korea.
Abstract

We describe a case of priapism after perineal blunt trauma in a 32-year old man who complained of painless and persistent erection. We confirmed high-flow priapism by cavernosal blood gas analysis, Doppler ultrasonography, and arteriography. A pseudoaneurysm was blocked by selective carvernosal artery embolization with autologous clot. Penile tumescence did not completely disappear during the following 4 weeks, and the patient complained of penile discomfort. Reembolization of the cavernosal artery with autologous clot was successful in reversing the erection. The patient has normal erectile status and no complaints during 30 months follow-up.

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