دورية أكاديمية
Endovascular treatment of traumatic penile arteriospongious fistula in a patient with erectile dysfunction: a case report and literature review.
| العنوان: | Endovascular treatment of traumatic penile arteriospongious fistula in a patient with erectile dysfunction: a case report and literature review. |
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| المؤلفون: | Vihtelič P; Clinical Institute of Radiology, University Medical Centre Ljubljana, Zaloška cesta 7, Ljubljana, SI-1000, Slovenia., Hawlina S; Faculty of Medicine, University of Ljubljana, Vrazov trg 2, Ljubljana, SI-1000, Slovenia.; Department of Urology, University Medical Centre Ljubljana, Zaloška cesta 7, Ljubljana, SI-1000, Slovenia., Popovič P; Clinical Institute of Radiology, University Medical Centre Ljubljana, Zaloška cesta 7, Ljubljana, SI-1000, Slovenia. peter.popovic@kclj.si.; Faculty of Medicine, University of Ljubljana, Vrazov trg 2, Ljubljana, SI-1000, Slovenia. peter.popovic@kclj.si. |
| المصدر: | BMC urology [BMC Urol] 2023 Aug 09; Vol. 23 (1), pp. 134. Date of Electronic Publication: 2023 Aug 09. |
| نوع المنشور: | Review; Case Reports; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: BioMed Central Country of Publication: England NLM ID: 100968571 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2490 (Electronic) Linking ISSN: 14712490 NLM ISO Abbreviation: BMC Urol Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: London : BioMed Central, [2001- |
| مواضيع طبية MeSH: | Erectile Dysfunction*/etiology , Erectile Dysfunction*/therapy , Arteriovenous Fistula*/complications , Arteriovenous Fistula*/diagnostic imaging , Arteriovenous Fistula*/therapy , Embolization, Therapeutic*/methods, Male ; Humans ; Adult ; Penis ; Penile Erection ; Angiography |
| مستخلص: | Background: An arteriovenous fistula is an abnormal communication between an artery and a vein. Traumatic penile arteriospongious fistula is a rare complication and has been described as a cause of erectile dysfunction. Clinical evaluation of patients with erectile dysfunction after penile trauma includes a thorough history, physical examination, vascular assessment, and other complementary exams. Treatment consists of endovascular embolization, surgical ligation, or a combination of both techniques. Case Presentation: A 40-year-old man presented with erectile dysfunction that had persisted since suffering blunt trauma a few months ago. He reported problems with short duration of erection and insufficient penile tumescence. Due to high suspicion of an arteriovenous fistula, he was referred to angiography, which confirmed the diagnosis of an abnormal connection between the pudendal vessels. The patient was treated with the coil embolization technique and the symptoms were successfully resolved after endovascular treatment. Conclusions: The appearance of a post-traumatic arteriospongious fistula is a rare complication with almost non-existent literature reported. Rapid development in endovascular techniques, in which we use embolic agents to block anomalous blood flow, has allowed safe, effective and less invasive alternative to surgery. Our case demonstrates that endovascular approach is a successful treatment for post-traumatic arteriospongious fistula since the symptoms were resolved, and normal erectile function was regained after the intervention. (© 2023. BioMed Central Ltd., part of Springer Nature.) |
| References: | BMJ Case Rep. 2019 Oct 23;12(10):. (PMID: 31645391) J Bone Joint Surg Br. 2005 Mar;87(3):281-90. (PMID: 15773631) Acta Biomed. 2020 Sep 23;91(10-S):e2020010. (PMID: 33245065) Int J Impot Res. 1999 Jun;11(3):141-3. (PMID: 10404282) J Surg Case Rep. 2018 Sep 21;2018(9):rjy240. (PMID: 30254731) Br J Radiol. 2007 Nov;80(959):e265-7. (PMID: 17989324) |
| فهرسة مساهمة: | Keywords: Arteriospongious fistula; Arteriovenous fistula; Endovascular embolization; Erectile dysfunction; Perineal trauma |
| تواريخ الأحداث: | Date Created: 20230809 Date Completed: 20230811 Latest Revision: 20231122 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC10413610 |
| DOI: | 10.1186/s12894-023-01305-7 |
| PMID: | 37558999 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1471-2490 |
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| DOI: | 10.1186/s12894-023-01305-7 |