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The selective angiography of the right internal pudendal artery demonstrating a mark blush of contrast media which is resulting from arteriocavernosal fistula (arrow) from injury of the cavernosal artery
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The diagnostic angiography revealed the presence of a bilateral contrast leak from the cavernosal artery to the corpus cavernosum which was most prominent via the right cavernosal artery (Figs. 1 and 2).
There is a bilateral arteriocavernosal fistula (arrow), less prominent in the angiogram of the left internal pudendal artery
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The diagnostic angiography revealed the presence of a bilateral contrast leak from the cavernosal artery to the corpus cavernosum which was most prominent via the right cavernosal artery (Figs. 1 and 2).
For gelatin sponge embolization a microcatheter is placed with its catheter tip (thin arrow) into the orifice of the arteriocavernosal fistula (large arrow)
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Thereafter a microcatheter (2.7 F; Microferrit; Cook, Bloomington, IN, USA) was placed into the cavernosal artery with its catheter tip positioned right into the leak to the corpus cavernosum (Fig. 3).
The selective angiogram of the right internal pudendal artery shows a complete occlusion of the arteriocorporal fistula. The gelatin sponge is impacted in the corpus cavernosum (arrow)
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The ACF disappeared completely (Fig. 4).
A follow-up color Doppler sonography performed 6 weeks after embolization shows intact cavernosal arteries and corpora cavernosa bilaterally (large arrows). (a) Sagittal ultrasound scan, (b) axial ultrasound scan of the penis base, dorsal arteries (thin arrows), doral vein (transparent arrow)
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The priapism resolved completely and the patient reported a normal erectile function (Fig. 5).