REGULAR CONTENT
Final ID
601
Type
Educational Exhibit-Poster Only
Authors
S Veean1, W Nixon2, H Vo3, H Bowers4, E Rotem5
Institutions
1Augusta University, Augusta, GA, 2N/A, Augusta, GA, 3N/A, Grovetown, GA, 4Medical College of Georgia at Augusta University, Augusta, GA, 5Augusta University, Evans, GA
Purpose
Impotence and priapism are common causes of functional disorders of the penis. We will describe the role of interventional radiology in helping diagnose different penile disorders and treatments. Learning objectives include:1.Performing an angiogram and venogram of the penis2.Describing the normal penile anatomy and normal anatomical variants3.Describing the abnormal pathologic findings and endovascular treatment optionsThis article will serve as a guide for the practical utilization of penile angiography and penile venography in clinical practice.
Materials & Methods
Penile angiography can be utilized to diagnose and treat some causes of impotence or priapism. Although US is the first modality to diagnose some penile pathology, US is sometimes unable to make an accurate diagnosis. Using penile angiography, diagnosis can be made quickly while simultaneously allowing for endovascular treatment. Low flow impotence can be treated with a stent or angioplasty of the cavernosal artery. Alternatively, selective embolization can be performed for impotence due to vasogenic leak seen in erectile dysfunction. Low flow priapism is painful and requires immediate treatment via cavernous aspiration. High flow priapism is painless and involves a short circuit of the vascular system in the penis and does not require emergent treatment, although IR can assist.
Results
4 of 5 patients with venogenic impotence achieved resolution of impotence after embolization of bilateral pudendal veins. Angiography confirmed venous leak.Two patients with high flow priapism were treated successfully with common penile artery embolization. Pelvic angiography was used as an adjunct along with US for diagnosis to locate a cavernous artery fistula in high flow group.
Conclusions
Interventional radiology can provide a role for the diagnosis and the endovascular treatment of impotence and priapism.1.Penile venous ablation can be used to treat high flow impotence.2.Penile arterial embolization can be used to treat high flow arterial priapism.3.Penile arterial stenting or angioplasty can be used to treat low flow arterial impotence.4.Cavernosal aspiration can be used to treat priapism in sickle-cell patients with low venous flow.
Final ID
601
Type
Educational Exhibit-Poster Only
Authors
S Veean1, W Nixon2, H Vo3, H Bowers4, E Rotem5
Institutions
1Augusta University, Augusta, GA, 2N/A, Augusta, GA, 3N/A, Grovetown, GA, 4Medical College of Georgia at Augusta University, Augusta, GA, 5Augusta University, Evans, GA
Purpose
Impotence and priapism are common causes of functional disorders of the penis. We will describe the role of interventional radiology in helping diagnose different penile disorders and treatments. Learning objectives include:1.Performing an angiogram and venogram of the penis2.Describing the normal penile anatomy and normal anatomical variants3.Describing the abnormal pathologic findings and endovascular treatment optionsThis article will serve as a guide for the practical utilization of penile angiography and penile venography in clinical practice.
Materials & Methods
Penile angiography can be utilized to diagnose and treat some causes of impotence or priapism. Although US is the first modality to diagnose some penile pathology, US is sometimes unable to make an accurate diagnosis. Using penile angiography, diagnosis can be made quickly while simultaneously allowing for endovascular treatment. Low flow impotence can be treated with a stent or angioplasty of the cavernosal artery. Alternatively, selective embolization can be performed for impotence due to vasogenic leak seen in erectile dysfunction. Low flow priapism is painful and requires immediate treatment via cavernous aspiration. High flow priapism is painless and involves a short circuit of the vascular system in the penis and does not require emergent treatment, although IR can assist.
Results
4 of 5 patients with venogenic impotence achieved resolution of impotence after embolization of bilateral pudendal veins. Angiography confirmed venous leak.Two patients with high flow priapism were treated successfully with common penile artery embolization. Pelvic angiography was used as an adjunct along with US for diagnosis to locate a cavernous artery fistula in high flow group.
Conclusions
Interventional radiology can provide a role for the diagnosis and the endovascular treatment of impotence and priapism.1.Penile venous ablation can be used to treat high flow impotence.2.Penile arterial embolization can be used to treat high flow arterial priapism.3.Penile arterial stenting or angioplasty can be used to treat low flow arterial impotence.4.Cavernosal aspiration can be used to treat priapism in sickle-cell patients with low venous flow.