Priapism is caused by an imbalance between penile blood inflow and outflow.There are two types of priapism: low-flow priapism due to venous occlusion and high-flow priapism due Window Replacement to uncontrolled arterial flow to the veins.High-flow priapism most frequently occurs as a result of penile trauma in which the intercavernosal artery disruption causes an arteriocavernosal fistula.
It is rarely encountered in the pediatric and prepubertal population.Clinically, it manifests as a Pouch painless, prolonged erection after perineal trauma.Treatment ranges from expectant management to open surgical exploration with vessel ligation.
We report the successful treatment of high-flow priapism in a 12-year-old prepubertal boy with superselective embolization.