Ces Urol 2006, 10(3):49-53 | DOI: 10.48095/cccu2006025

High-flow priapism in children

R. Sobotka¹, R. Kočvara¹, J. H. Peregrin², J. Gut³, J. Morávek⁴

¹ Urologická klinika 1. LF UK a VFN Praha

² Radiologická klinika, IKEM, Praha

³ Oddělení pediatrie, Nemocnice Česká Lípa

⁴ Klinika dětské chirurgie, FN Motol, Praha

Introduction: First described by Burt in 1960, high-flow priapism in childhood occurs rarely, with only 39 cases having been reported in the English-language literature so far. We present a group of three children with non-ischaemic high-flow priapism due to perineal trauma where each case was managed differently.
Material and patients: Between 1994 and 2002, three boys presented with painless high-flow priapism which occurred within 24 hours following trauma and was managed using different treatment methods (conservative method, embolization, surgical treatment).

Results: At follow-up of 10, 4, and 3 years, erectile function is preserved in all patients with adequate perfusion of the penis and without recurrence of priapism.

Conclusion: Conservative therapy of priapism is feasible within the first few weeks following trauma; if it fails, however, selective embolization needs to be indicated in a timely manner. Excessive delay of therapy may result in failure and the necessity to use surgical treatment.

Keywords: high-flow priapism, perineal compression, superselective angioembolization, erectile dysfunction

Published: June 1, 2006