Arteriovenous intracavernous post-traumatic fistula: Clinical management and treatment by superselective embolization

Arteriovenous intracavernous post-traumatic fistula (FAV) is a rare post-traumatic lesion for which the first choice of treatment is superselective embolization. We present a case of post-traumatic fistula in a 45-year-old patient. The patient underwent penile blood gas analysis and color Doppler ultrasonography and was treated with superselective embolization with an acrylic co-polymer. Postoperative arteriography showed obliteration of the fistula. Color Doppler ultrasonography 60 days after the procedure showed reacquired physiologic patency of the cavernous artery with normal flow parameters. The results of this case confirm superselective embolization as the reference standard treatment of FAV. We propose the use of an acrylic co-polymer as a new, effective embolizing medium. © 2004 Elsevier Inc.