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To summarise, high flow priapism should be suspected if there is moderate persistent, non/mildly painful tumescence of the penis presenting post perineal trauma. Doppler is conclusive in making a diagnosis which is usually due to an arterio-cavernosal fistula. DSA with superselective embolization of the internal pudendal artery branch is the treatment of choice over surgery since it can selectively obliterate the injured artery with good long term results as well as preserving erectile function in most cases.
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This page is a summary of: Post-traumatic high-flow priapism: uncommon presentation with endovascular management, BMJ Case Reports, October 2019, BMJ,
DOI: 10.1136/bcr-2019-229299.
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