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High-flow post-traumatic priapism: diagnostic and therapeutic workup

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Abstract

Priapism is a prolonged penile tumescence or erection unrelated to sexual stimulation that lasts more than 6 h. High-flow priapism is a rare condition usually due to a perineal trauma with the formation of an arterio-cavernosal fistula between a cavernosal artery and the lacunar spaces of the penis. High-flow priapism is usually diagnosed by clinical examination and color Doppler ultrasound, and the gold standard therapeutic management is represented by digital subtraction angiography. We report a case of a young patient with high-flow priapism after a motorcycle blunt perineal trauma, examining in detail the specific color Doppler ultrasound findings, the diagnostic workup and the therapeutic management.

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Acknowledgements

The authors would like to especially thank Dr. Adele Manca and Dr. Rosa Manca for drawing Fig. 6.

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Correspondence to Marco Di Serafino.

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Acampora, C., Borzelli, A., Di Serafino, M. et al. High-flow post-traumatic priapism: diagnostic and therapeutic workup. J Ultrasound 24, 539–545 (2021). https://doi.org/10.1007/s40477-020-00449-8

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  • DOI: https://doi.org/10.1007/s40477-020-00449-8

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