Posttravmatik Erektil Disfonksiyon Olgusu: Korpus Kavernozum Psödoanevrizması

Abstract

Amaç: Erektil disfonksiyon prevalansı yaşla birlikte artan patofizyolojisinde çeşitli nedenleri barındıran yaygın bir sağlık sorunudur. Travmatik nedenli erektil disfonksiyonun olası mekanizması bir vaka aracılığıyla gözden geçirilecektir. Olgu: Yirmialtı yaşında erkek hasta on gün önce ağaçtan düşme sonrası gelişen erektil disfonksiyon nedeniyle üroloji polikliniğinden tarafımıza Renkli Doppler Ultrasonografi incelemesi istemiyle gönderildi. Sağ korpus kavernozumda psödoanevrizma ve ilişkili arteriovenöz fistül izlendi. Sonuç: Künt travma öyküsü olan hastalarda erektil disfonksiyon varlığında vasküler nedenler akılda tutulmalı ve buna yönelik görüntülemelerden faydalanılmalıdır.

Keywords

• perineal travma
• erektil disfonksiyon
• psödoanevrizma
• arteriovenöz fistül

A Case of Posttraumatic Erectile Dysfunction: Pseudoaneurysm of Corpus Cavernosum

Abstract

Aim: Erectile dysfunction is a common health problem with increasing prevalance during aging secondary to diverse underlying pathophysiologic causes. A traumatic erectile dysfunction case is presented. Case: A twenty-six-year-old male presented with erectile dysfunction after falling from a tree referred to our department by Urology clinic for Color Doppler Ultrasound examination. A pseudoaneurysm and an associated arteriovenous fistula in the right corpus cavernosum is detected. Conclusion: In case of a patient suffering from erectile dysfunction with blunt trauma history, vascular causes have to be suspected and related imaging studies should be utilized.

Keywords

• perineal trauma
• erectile dysfunction
• pseudoaneurysm
• arteriovenous fistula

References

1. 1. Selvin E, ve ark. Prevalence and risk factors for erectile dysfunction in the US. Am J Med. 2007 Feb;120(2):151-7
2. 2. Grover SA, ve ark. The Prevalence of Erectile Dysfunction in the Primary Care Setting: Importance of Risk Factors for Diabetes and Vascular Disease. Arch Intern Med. 2006;166(2):213–219. doi:10.1001/archinte.166.2.213
3. 3. Donatucci CF, Lue TF. Erectile dysfunction in men under 40: etiology and treatment choice. Int J Impot Res 1993;5:97-103.
4. 4. Dean RC, Lue TF. Physiology of penile erection and pathophysiology of erectile dysfunction. Urol Clin North Am. 2005 Nov;32(4):379-95, v. doi: 10.1016/j.ucl.2005.08.007
5. 5. Oliveira, Fábio Augusto Cypreste, ve ark. "Endovascular treatment of erectile dysfunction by traumatic arteriospongious fistula: case report."
6. 6. Lue TF, ve ark. Functional evaluation of penile veins by cavernosgraphy in papaverine-induced erection. J Urol 1986;135:479–482
7. 7. Vickers MA Jnr, ve ark. High resolution ultra-sonography and pulsed wave Doppler for detection of corporo- venous incompetence in erectile dysfunction. J Urol 1990;143:1125–7.
8. 8. Türkay R, ve ark. Contribution of MRI to clinically equivocal penile fracture cases. Ulus Travma Acil Cerrahi Derg. 2016;22(6):549‐552. doi:10.5505/tjtes.2016.50955

9. 9. Koga S, ve ark. Sonography in fracture of the penis. Br J Urol 1993;72:228–9.
10. 10. Berger R, ve ark. Report of the American Foundation for Urologic Disease (AFUD) Thought Leader Panel for evaluation and treatment of priapism. Int J Impot Res. 2001;13 Suppl 5:S39‐S43. doi:10.1038/sj.ijir.3900777
11. 11. Ridgley J, ve ark. Ischaemic priapism: A clinical review. Turk J Urol. 2017;43(1):1‐8. doi:10.5152/tud.2017.59458
12. 12. Keck B, ve ark. Sonographic diagnosis of a posttraumatic arteriocavernosal fistula resulting in high-flow priapism. J Clin Ultrasound. 2012;40(1):60–62
13. 13. Kim KR. Embolization Treatment of High-Flow Priapism. Semin Intervent Radiol. 2016 Sep;33(3):177-81. doi: 10.1055/s-0036-1586152
14. 14. Volgger H, ve ark. Posttraumatic high-flow priapism in children: noninvasive treatment by color Doppler ultrasound-guided perineal compression. Urology. 2007;70(3):590000–5.9E7
15. 15. Celtikci P, ve ark. Superselective arterial embolization of pseudoaneurysm and arteriovenous fistula caused by transurethral resection of the prostate. Pol J Radiol 2014;79:352-5.
16. 16. Yesilkaya Y, ve ark. Autologous blood-clot embolisation of cavernosal artery pseudoaneurysm causing delayed high-flow priapism. Pol J Radiol. 2013;78(2):54‐56. doi:10.12659/PJR.883946
17. 17. Masterson JM, ve ark. Successful management of cavernosal artery pseudoaneurysm using microcoil embolization. Transl Androl Urol 2017;6(5):973-977. doi:10.21037/tau.2017.08.