中文題目：個案報告：非缺血性陰莖反常勃起
作者：羅詩修1, 陳偉傑1, 顧芳瑜1, 林俊宇2, Navneet kumar Duby3, 劉明哲1
服務單位：1 台北醫學大學附設醫院泌尿科, 2台北醫學大學附設醫院影像診斷科, 3台北醫學大學生物醫學工程研究所
High-Flow Priapism From Bicycle injury : A Case Report And Review Of Literature
Shih-Hsiu Lo, M.D.1 ,Wei-Chieh Chen, M.D.1; Fang-Yu Ku, M.D.1; Chun-Yu Lin, M.D.2; Navneet Kumar Dubey3, M.Tech.; Ming-Che Liu, M.D., Ph.D1.
1Department of Urology, Taipei Medical University Hospital, Taipei medical university, Taipei, Taiwan
2Department of medical imaging, Taipei medical university hospital, Taipei medical university, Taipei, Taiwan
3College of Biomedical Engineering, Graduate Institute of Biomedical Materials and Tissue Engineering, Taipei Medical University, Taipei, Taiwan
Abstract
We present here a suspected case of traumatic high-flow priapism (HFP) in a 26-years old Taiwanese man, after scrotal injuries with the handlebar of stationary bicycle. After diagnosis by angiography, appearance of an active extravasation of contrast medium to cavernous spongiosum at regions of bulbous branch of right internal pudendal artery with identified fistula was reported. The condition was treated successfully through embolization by using Gelfoam. The post-embolization arteriogram revealed that fistula was no longer visible. Further, a penile detumescence and flaccidity was observed along with restoration of normal erectile function. Finally, it is advocated that embolization is a safer, efficacious and minimally invasive treatment of leaking pudendal artery to resolve such abnormal condition.