Embolisation bei Penisverletzungen

Penile trauma

- Corpus spongiosum tear. Note the contrast extravasation from the left internal pudendal artery (red arrow). After using absorbable haemostatic gelatin sponge, active bleeding was interrupted (blue arrow).

Penile trauma

- Corpus spongiosum tear. At the same time, contrast extravasation from the right internal pudendal artery was observed (red arrow) and the use of absorbable gelatin sponge was required (green arrow). Active bleeding was interrupted (blue arrow).

Penile trauma

- Corpus spongiosum tear. After a few minutes, a new focus of contrast extravasation originating in the right internal pudendal artery was observed (red arrow). A selective angiography was performed using a micro-catheter (green arrow), confirming the bleeding.

Penile trauma

- Corpus spongiosum tear. A liquid embolic agent (red arrow, Onyx) was injected through a micro-catheter. Blue arrow: gauze pad.

Penile trauma

- Corpus spongiosum tear. At the same time, another focus of contrast extravasation originating in the left pudendal artery was also observed (red arrow) and required the use of a liquid embolic agent (blue arrow, Onyx).

Penile trauma

- Corpus spongiosum tear. After the procedure, a pelvic plain film was performed. Note the presence of bilateral liquid embolic agent (Onyx) in both internal pudendal arteries.

Penile trauma

- Corpus spongiosum tear. Contrast extravasation within the penile bulb (yellow arrow), which is the base of the corpus spongiosum. Note the anterior extension of contrast within the corpus spongiosum (red arrows).J.A Prat-Matifoll; Vall Hebron Hospital, Radiology Department