Derri Hafa Nurfajri, Dahril Dahril
High-flow priapism (HFP) is a rare disorder that causes prolonged, painless erections. Because it has the potential to permanently damage erectile function, HFP should be promptly treated to regain potency. The suggested therapies for nonischemic priapism include surgical ligation of the arteriocavernous fistulae or selective arterial embolization. However, extensive studies regarding angioembolization in priapismus patients are still lacking, while most of them were case reports, this article aimed to compile and reviewed the available studies regarding therapeutic angioembolization as the management modality of priapism. This systematic review was carried out using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklists. We included 16 studies involving 52 patients in this review. Our review found that angioembolization had favorable rates of clinical symptom alleviation and favorable rates of erectile function improvement. © 2025 Urology Annals.
Department of Urology, Hasan Sadikin Academic Medical Center, Faculty of Medicine, Padjadjaran University, Bandung, Indonesia; Department of Surgery, Division of Urology, Faculty of Medicine, Syiah Kuala University, Zainoel Abidin General Hospital, Banda Aceh, Indonesia
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