Un priapisme à haut debit post fracture du bassin
(2023) Louvain médical — Vol. 142, n° 08, p. 378-382 (2023)
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- Abstract
- (en) [High-flow priapism after pelvic fracture] Priapism is an erectile dysfunction characterized by partial or complete penile erection lasting more than four hours without any sexual stimulation. Its incidence is estimated at 0.5-0.9 cases per 100,000 people per year. Ischemic priapism, which is more frequent and painful, is induced by the paralysis of the cavernous smooth muscle, which can no longer contract, allowing hypoxic blood to stagnate within the sinusoidal spaces. Arterial priapism, rare (5% of priapism) and typically painless, generally results from direct perineal trauma responsible for an arterio-cavernous fistula. In this case report, we discuss the multidisciplinary management of a 31-year-old patient, olytraumatized after a high-velocity motorcycle accident. He presented with a pelvic fracture osteosynthesized with a plate and screws. Following surgery, the patient developed post-traumatic high-flow priapism, which was managed by interventional radiology.
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Citations
Carlat, R., Destraix, R., Jacquemart, N., Melebeck, F., Twahirwa, M., & De Foy, M. (2023). Un priapisme à haut debit post fracture du bassin. Louvain médical, 142(08), 378-382. https://hdl.handle.net/2078.5/26321 (Original work published 2023)