|High-flow priapism: Superselective cavernous artery embolization with microcoils|
|Liu, Bao-xing; Xin, Zhong-cheng1; Zou, Ying-hua; Tian, Long; Wu, Yi-guang; Wu, Xiao-jun; Song, Wei-dong; Zhang, Zhi-chao; Gao, Bing|
|WOS标题词||Science & Technology|
|类目[WOS]||Urology & Nephrology|
|研究领域[WOS]||Urology & Nephrology|
OBJECTIVES To determine the effectiveness of superselective cavernous artery embolization.
METHODS Eight patients with high-flow priapism were included in this study. All were treated by superselective cavernous artery embolization with microcoils and gelatin sponges. The follow-up examinations consisted of color duplex ultrasonography. The International Index of Erectile Function 5-item questionnaire was used to investigate the patients′ erectile function before the onset of priapism, at embolization, and 6 months after embolization.
RESULTS A unilateral cavernous fistula was found in 7 patients and bilateral fistulas in 1. Of the 8 patients, 2 (1 with unilateral and I with bilateral fistulas) initially underwent embolization with a gelatin sponge but presented with recurrence Of tumescence I week after treatment and required a repeat embolization procedure with microcoils. The other 6 patients (75%) were successfully detumescent after embolization with microcoils. The 6 patients (75%) who underwent embolization with microcoils alone had normal erectile function with a mean International Index of Erectile Function score of 22.20 at 6 months after embolization. The 2 patients (25%) who had required repeat embolization had erectile dysfunction, with a mean International Index of Erectile Function score of 13.00.
CONCLUSIONS Superselective cavernous artery embolization with microcoils is a safe and effective treatment of high-flow priapism. The use of microcoils resulted in greater embolization success and preservation of erectile function, especially in the treatment of a unilateral arterial fistula in a Young patient.
|作者单位||1.Peking Univ, Hosp 1, Androl Ctr, Beijing 100009, Peoples R China|
2.Peking Univ, Hosp 1, Dept Intervent Radiol & Vasc Surg, Beijing 100009, Peoples R China
3.Peking Univ, Inst Urol, Beijing 100009, Peoples R China
|Liu, Bao-xing,Xin, Zhong-cheng,Zou, Ying-hua,et al. High-flow priapism: Superselective cavernous artery embolization with microcoils[J]. UROLOGY,2008,72(3):571-573.|
|APA||Liu, Bao-xing.,Xin, Zhong-cheng.,Zou, Ying-hua.,Tian, Long.,Wu, Yi-guang.,...&Gao, Bing.(2008).High-flow priapism: Superselective cavernous artery embolization with microcoils.UROLOGY,72(3),571-573.|
|MLA||Liu, Bao-xing,et al."High-flow priapism: Superselective cavernous artery embolization with microcoils".UROLOGY 72.3(2008):571-573.|