1Reproductive Center, Peking University People's Hospital, Beijing,
China; 2Urology Department, Peking University People's Hospital,
Objectives: To determine the effectiveness of Superselective Embolization
of the Pudendal Artery for the treatment of high-flow
priapism, we reviewed the case records of 6 patients who were
examined by the Urologic Clinic in Peking University People’s
Hospital from 2000 to 2009. High-flow or arterial priapism is a
fairly rare dysfunction, generally resulting from penile or perineal
trauma. In some cases, the etiology remains unknown.
Methods: Trauma was reported in all the 6 cases, and these
patients underwent selective embolization during arteriography.
Color Doppler ultrasonography was repeated at 1 day and
1 month after the operation. The determination of erectile
function at a mean follow-up of 21 months (range 13 to 44)
was performed using the International Index of Erectile Function.
Results: Postoperatively, color Doppler ultrasonography revealed
the absence of recurrence in all the 6 patients. Fistula recurrence
was not detected in the 6 patients treated with selective embolization.
In one of these patients, a second embolization procedure was
conclusive. Sexual function was completely preserved in 80% of
Conclusions: Pudendal angiography with superselective embolization
is the treatment of choice. It is well tolerated and ensures
a high preservation of premorbid erectile function.