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<p>A healthy 24-year-old male patient presented with a history of straddle-trauma from a bicycle accident and concomitant non-ischemic-priapism lasting for ten days. On a contrast-enhanced computed tomography scan an arterio-cavernous fistula establishing a connection between the right cavernosal artery and the ipsilateral corpus cavernosum was diagnosed. Super-selective unilateral arterial embolization was performed using gelatin sponge and microcoils. Technical success became evident with the consecutive detumescence of the penis and long-term preservation of baseline urogenital functions.</p>

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Unilateral embolization of an arterio-cavernous fistula in the treatment of post-traumatic non-ischemic-priapism: permanent coiling after immediate temporary agent failure

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年4月24日

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  • Carolina Dominguez Aleixo,
  • Christoph Erxleben,
  • Emre Baysal,
  • Fabiola Leibling,
  • Maximilian de Bucourt,
  • Bernhard Gebauer,
  • Julian Lenk

摘要

A healthy 24-year-old male patient presented with a history of straddle-trauma from a bicycle accident and concomitant non-ischemic-priapism lasting for ten days. On a contrast-enhanced computed tomography scan an arterio-cavernous fistula establishing a connection between the right cavernosal artery and the ipsilateral corpus cavernosum was diagnosed. Super-selective unilateral arterial embolization was performed using gelatin sponge and microcoils. Technical success became evident with the consecutive detumescence of the penis and long-term preservation of baseline urogenital functions.