PMC6500643_01
CT depicting bilateral arteriocavernous fistulae with pooling of contrast medium in the corpora.
CRIU2019-3916056.001.jpg
PMC6500643_01_CRIU2019-3916056.001.jpg
fig1
The CT demonstrated evidence of arterial pooling within the bulbar segments of the corpora cavernosa bilaterally, in-keeping with a high flow, nonischaemic priapism (Figure 1).
Angiography depicting extravasation of contrast at the sites of arteriocavernous fistulae.
CRIU2019-3916056.002.jpg
PMC6500643_01_CRIU2019-3916056.002.jpg
fig2
The left fistula received supply from the branches of the left internal pudendal artery and an accessory pudendal branch of the anterior prostatic artery which came off the obturator (Figures 2 and 4). On the right a single fistula from a distal branch of the right internal pudendal was present (Figures 2 and 6) and superselectively catheterised beyond the dorsal penile branch and embolized just proximal to the fistula using microcoils (2mm Soft platinum Type-A, Cookmedical, Bloomington, USA) (Figure 7).
After procedure, no extravasation of contrast following successful embolization.
CRIU2019-3916056.003.jpg
PMC6500643_01_CRIU2019-3916056.003.jpg
fig3
This resulted in satisfactory occlusion of the fistula and persistent good antegrade flow within the nontarget vessels (Figures 3 and 5). Postembolization angiography showed satisfactory results with no further filling of the cavernosal fistulas (Figures 3 and 7).
Left arteriocavernous fistula supplied by both the left internal pudendal artery and an accessory pudendal branch of the anterior prostatic artery from the obturator artery.
CRIU2019-3916056.004.jpg
PMC6500643_01_CRIU2019-3916056.004.jpg
fig4
The left fistula received supply from the branches of the left internal pudendal artery and an accessory pudendal branch of the anterior prostatic artery which came off the obturator (Figures 2 and 4).
Cessation of fistula following Gelfoam embolization.
CRIU2019-3916056.005.jpg
PMC6500643_01_CRIU2019-3916056.005.jpg
fig5
This resulted in satisfactory occlusion of the fistula and persistent good antegrade flow within the nontarget vessels (Figures 3 and 5).
Single causative artery of arteriocavernous fistula being the distal branch of the right internal pudendal artery.
CRIU2019-3916056.006.jpg
PMC6500643_01_CRIU2019-3916056.006.jpg
fig6
On the right a single fistula from a distal branch of the right internal pudendal was present (Figures 2 and 6) and superselectively catheterised beyond the dorsal penile branch and embolized just proximal to the fistula using microcoils (2mm Soft platinum Type-A, Cookmedical, Bloomington, USA) (Figure 7).
Microcoil embolization of the distal branch of the right internal pudendal artery.
CRIU2019-3916056.007.jpg
PMC6500643_01_CRIU2019-3916056.007.jpg
fig7
On the right a single fistula from a distal branch of the right internal pudendal was present (Figures 2 and 6) and superselectively catheterised beyond the dorsal penile branch and embolized just proximal to the fistula using microcoils (2mm Soft platinum Type-A, Cookmedical, Bloomington, USA) (Figure 7). Postembolization angiography showed satisfactory results with no further filling of the cavernosal fistulas (Figures 3 and 7).