Selective embolization of bilateral arterial cavernous fistulas for posttraumatic penile arterial priapism

Cardiovasc Intervent Radiol. 1996 Jul-Aug;19(4):281-4. doi: 10.1007/BF02577651.


A 22-year-old man suffered a hiking accident with perineal trauma and developed a nonpainful priapism secondary to bilateral arterial-cavernosal fistulas. To minimize the risk of impotence in this young patient, successive selective embolizations with autologous blood clot were performed to close the fistulas. This led to an uncomplicated full recovery. No fistula was detectable on Doppler ultrasonography at 1-year follow-up. Review of the literature confirms the safety of embolization with autologous clot.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Animals
  • Arteries / injuries
  • Arteriovenous Fistula / etiology*
  • Arteriovenous Fistula / therapy*
  • Cricetinae
  • Embolization, Therapeutic*
  • Humans
  • Male
  • Penis / blood supply*
  • Priapism / etiology*
  • Priapism / therapy*