Evidence map›Paper›PMID 33245065›Full record

ReviewActa bio-medica : Atenei Parmensis2020

Interventional radiology management of high flow priapism: review of the literature.

Antonio Arrichiello, Salvatore Alessio Angileri, Giorgio Buccimazza, Francesco Di Bartolomeo, Letizia Di Meglio, Alessandro Liguori, Martina Gurgitano, Anna Maria Ierardi, Maurizio Papa, Aldo Paolucci and 1 more

Open access · greenAbstract readReview
In one paragraph

Review in Acta bio-medica : Atenei Parmensis, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.8field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 21 citations in OpenAlex.

  1. The role of the urologist in managing high flow priapism.International journal of impotence research · 2026
    Review
  2. Article
  3. Article
  4. Review
  5. Article
  6. MR imaging of penile pathology and prostheses.Abdominal radiology (New York) · 2025
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Idiopathic High-Flow Priapism.Archives of Iranian medicine · 2023
    Article
  12. Review
  13. Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 2 countries.

Antonio ArrichielloPostgraduation School in Radiodiagnostics, Univeristà Degli Studi di Milano, Milan, Italy. arrichielloantonio@gmail.com.
Salvatore Alessio AngileriOperative Unit of Radiology, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico di Milano, Milan, Italy. Ang.alessio@yahoo.it.
Giorgio BuccimazzaPostgraduation School in Radiodiagnostics, Università degli Studi di Milano, Milan, Italy Via Festa del Perdono 7, 20122, Milan, Italy. giorgio.bcmz@live.it.
Francesco Di BartolomeoArray. francesco.dibartolomeo@unimi.it.
Letizia Di MeglioPostgraduation School in Radiodiagnostics, Univeristà Degli Studi di Milano, Milan, Italy. Letiziadimeglio@gmail.com.
Alessandro LiguoriOperative Unit of Radiology, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico di Milano, Milan, Italy. alessandroliguori.medicina@gmail.com.
Martina GurgitanoDivision of Radiology, IEO European institute of oncology IRCCS, Milan, Italy. Martina.gurgitano@gmail.com.
Anna Maria IerardiOperative Unit of Radiology, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico di Milano, Milan, Italy. Amierardi@yahoo.it.
Maurizio PapaAzienda Socio Sanitaria Territoriale (ASST) Lodi, Department of Diagnostic, Complex Unit of Radiology, Lodi, Italy. Mauriziopapa79@gmail.com.
Aldo PaolucciOperative Unit of Neuroradiology, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico di Milano, Milan, Italy. aldo.paolucci@policlinico.mi.it.
Gianpaolo Carrafiello1-Operative Unit of Radiology, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico di Milano, Milan, Italy. 2-Department of Health Sciences, Università degli Studi di Milano, Milan, Italy. Gcarraf@gmail.com.
Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITUniversity of Milan · ITAzienda Socio Sanitaria Territoriale Lariana · ITEuropean Institute of Oncology · ITGenomic and Immunotherapy Medical Institute · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionHigh-flow priapism is a persistent partial penile tumescence, related to high flow arterial blood into the corpora. In the treatment of high flow priapism, super-selective embolization is considered treatment of choice when conservative treatment fails as reported in the "EAU Guidelines on Priapism", but there are only few series reporting the outcome, the efficacy of different embolic materials and these studies are uncontrolled and relatively small.

objectivesThe aim of this study is to review the literature to outline the state of the art of this interventional treatment and to analyse the outcome of the different embolic agents.

methodsThrough Medline database we searched all the English-language published articles related to priapism. Keywords were chosen according to MeSH terms. We selected case-series from 1990 to 2020 including at least five cases of high-flow priapism.The variables extracted from the selected articles were: number of patients, mean age, diagnostic imaging modality, mono or bilateral involvement of the arteries, embolization material, technical success, clinical success, complications, recurrence rate and type of reintervention, mean follow up, onset of erectile dysfunction.

resultsWe analyzed 11 papers.A total of 117 patients, mean age of 30 years, were studied during a period of 8 to 72 months. Technical success average was 99%, varying from 93 to 100%. Clinical success average was 88%, varying from 56 to 100%. After two or more treatments, resolution of priapism was obtained in all patients. No major adverse events registered. Recurrence rate of 21%(25/117) was observed, and only 4 pts underwent surgery. A total of 17 pts (15%) developed erectile dysfunction (ED).

conclusionOur data suggested comparable outcomes using different types of materials.In line with the last evidences we suggest that the choice of the embolic material should be selected basing on the expertise of the operator, the characteristic of the fistula and characteristic of the patients.

Indexed as

PriapismAdultHumansMalePenisRadiology, InterventionalTreatment OutcomeUltrasonography, Doppler, Color

Identifiers

PMID33245065
PMCPMC8023077
OpenAlexW3106570911

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.