Non-Ischemic Priapism as a Rare Sequela of Trauma and its Management: A Case Report

Abstract

Introduction: Priapism is the state of persistent and painful erection of the penis, with a duration more than 4 hours, which is unrelated to sexual stimulation.  Case: A 45-year-old man came with painless penile erection which gradually progressed and became persistent since the last 4 days. He gave a history of fall due to slipping while running, leading to blunt perineal trauma 8 days back. CT Angiography revealed contrast extravasation involving the right corpora cavernosa in the arterial phase. A fistulous communication was noted between the right dorsal artery of penis and the cavernosal sinusoids. A decision for angioembolisation was taken in view of the high success rates and minimally invasive approach. Conclusion: With the advent of minimally invasive therapy, angioembolisation is the most feasible option with the maximum benefit to preserve potency.