Aykut Recep AKTAŞ, Ömer YILMAZ, ELİF NİSA ÜNLÜ, Mustafa KAYAN, Ahmet GÜZEL, Tahsin ÇAPKIN, TAYLAN OKSAY

Yüksek akımlı priapizm nedeni olan post-travmatik penil pseudoanevrizmanın başarılı olmayan trombin enjeksiyonu sonrası süper seçici mikro-coil embolizasyonu ile tedavisi

Yüksek akımlı priapizm tedavisi buz uygulaması, aspirasyon, intrakavernöz alfa adrenerjik agonist ilaç enjeksiyonu ve kavernozal arterin açık cerrahi ile bağlanması ile de yapılabilmektedir. Embolizasyon da yüksek akımlı priapizm tedavisi için bir seçenek olabilir. Otolog pıhtı, gelfoam, N-bütil-siyanoakrilat ve metal mikro koiller embolizan materyal olarak kullanılmaktadır.Bizim vakamızda, ilk seçenek olarak otolog pıhtı oluşumu için trombin kullanılmıştı. Ancak rekanalizasyon oluşumu nedeniyle iki hafta sonra pudental arterin dalı olan bubocavernosal artere süperselektif coil embolizasyonu yapmak zorunda kaldık.Travmatik priapizm tedavisinde, mikro-coil embolizasyonu kalıcı tedavi seçeneği olmuştur

Anahtar Kelimeler:

Penile aneurysm, Coil embolisationartery is uncommon but a recognized condition as the patient presents with high flow priapism

Post-traumatic penile pseudoaneurysm causing high-flow priapism: treatment with super-selective micro-coil embolisation after non-successful thrombin injection

Introduction and Aim: Treatment of high-flow priapism varies from watchful waiting to mechanical compression with ice packs, aspiration, intracavernous admission of alpha- adrenergic agonists or even open surgery with ligation of the artery concerned. Embolisation is also a choise for treatment for high-flow priapism. Autologous clot, gelfoam, N-butyl-cyanoacrylate, and metallic micro-coils have been used as embolic agents. Case: In our case, we first used thrombin for autologous cloth formation but recanalisation occured. After two weeks we had to make superselective coil embolisation to bubocavernosal segment of pudental artery. Conclusion:Micro-coil embolisation was the permanent choise of treatment for post traumatic priapism.

Keywords:

Penil anevrizma Koil embolizasyonu, Post-traumatic penile,

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