Journal of Hong Kong College of Radiologists

Volume 6 Number 2, 2003

Superselective Arterial Angiography and Embolization for Post-traumatic Priapism

N Al-Nakshabandi,1 S Lingawi,2 L Marchinkow,1 PL Munk,1 C Morris,1 G Legiehn,1 S Ho1
1Department of Radiology, Vancouver General Hospital, University of British Columbia, Vancouver, Canada, and 2Department of Radiology, King Abdulaziz University Hospital, Jeddah, Saudi Arabia

Superselective arterial angiography and embolization for post-traumatic priapism is an established procedure for the control of priapism refractory to conservative measures and medication. For the pre-procedure assessment, cavernosal aspiration of blood is used to measure oxygen. Doppler ultrasound could be performed but is not a prerequisite. The procedure is always performed using local anaesthesia together with intravenous sedation and analgesia. A pigtail catheter is used to perform a pelvic angiogram and a Cobra C1 catheter used to perform a contralateral common iliac and selective internal iliac arteriography. A tracker catheter may be required for cannulation of the internal pudendal artery and gelatin sponge torpedoes are deployed at the site of the arteriovenous fistula. A follow up angiogram is performed to confirm a satisfactory result.(J HK Coll Radiol 2003;6:107-110)

Key Words: Interventional, Priapism, Radiography, Therapeutic embolization

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