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<p>Post-traumatic priapism in the paediatric population poses a diagnostic and therapeutic challenge. Cavernous blood sampling is not well tolerated, and diagnostic uncertainty hinders management decisions. We present the use of Colour Doppler Ultrasound (CDU) to provide a definitive diagnosis of high-flow priapism and identification of an embolisation target which was then successfully embolised with gelfoam slurry with no clinical recurrence or complications at 6&#xa0;months. Penile CDU is a reliable tool to diagnose arteriocavernous fistulae in children. Although conservative management remains first choice, safe and effective treatment of high-flow priapism in children can be achieved with gelfoam embolisation and identification of an embolisation target can aid the decision-making process.</p>

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Traumatic high flow priapism in a child — the role of Colour Doppler Ultrasound and gelfoam embolotherapy for effective management

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年7月8日

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  • Sajal Patel,
  • Richard Jenkins,
  • Massimo Garriboli,
  • Athanasios Diamantopoulos,
  • Claire Lloyd,
  • Narayan Karunanithy

摘要

Post-traumatic priapism in the paediatric population poses a diagnostic and therapeutic challenge. Cavernous blood sampling is not well tolerated, and diagnostic uncertainty hinders management decisions. We present the use of Colour Doppler Ultrasound (CDU) to provide a definitive diagnosis of high-flow priapism and identification of an embolisation target which was then successfully embolised with gelfoam slurry with no clinical recurrence or complications at 6 months. Penile CDU is a reliable tool to diagnose arteriocavernous fistulae in children. Although conservative management remains first choice, safe and effective treatment of high-flow priapism in children can be achieved with gelfoam embolisation and identification of an embolisation target can aid the decision-making process.