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Titolo:
POSTTRAUMATIC PRIAPISM TREATED WITH SELECTIVE CAVERNOSAL ARTERY LIGATION
Autore:
SHAPIRO RH; BERGER RE;
Indirizzi:
UNIV WASHINGTON,DEPT UROL,MED CTR,BOX 356510 SEATTLE WA 98195 UNIV WASHINGTON,DEPT UROL,MED CTR SEATTLE WA 98195
Titolo Testata:
Urology
fascicolo: 4, volume: 49, anno: 1997,
pagine: 638 - 643
SICI:
0090-4295(1997)49:4<638:PPTWSC>2.0.ZU;2-M
Fonte:
ISI
Lingua:
ENG
Soggetto:
HIGH-FLOW PRIAPISM; MANAGEMENT;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
15
Recensione:
Indirizzi per estratti:
Citazione:
R.H. Shapiro e R.E. Berger, "POSTTRAUMATIC PRIAPISM TREATED WITH SELECTIVE CAVERNOSAL ARTERY LIGATION", Urology, 49(4), 1997, pp. 638-643

Abstract

Two cases of post-traumatic high-flow priapism after blunt trauma to the penis are presented. Diagnosis of high-flow priapism was accomplished with the use of both color-flow Doppler ultrasound and arteriography, which demonstrated arteriocorporal fistulas. In each patient, angiographic embolization was attempted but abandoned because the distal artery feeding the fistula could not be safely catheterized. Both patients were definitively treated with surgical ligation of the arteriovenous fistula, guided by intraoperative ultrasound. Operative managementwith arterial ligation provides a safe, selective, and effective alternative treatment to embolization. Two surgical approaches are discussed, one extracorporal and the other transcorporal. We believe that although transcorporal dissection poses increased risks, it is appropriate for arterial priapism of prolonged duration, especially if a well-formed vascular pseudocapsule is identified. (C) 1997, Elsevier Science Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/10/20 alle ore 19:24:28