Selective embolization in the treatment of traumatic priapism with an arterio-cavernous fistula. Review of the literature

The authors report a case of post-traumatic priapism due to laceration of the left cavernous artery. Blood gases on blood aspirated from the corpora cavernosa revealed the presence of "high-flow" priapism. Transfemoral arteriography confirmed the arteriocavernous fistula which was successfully treated by selective embolisation of the internal pudendal artery. The authors present a review of the literature on this subject with special reference to the diagnostic and therapeutic aspects.