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+A 47-year-old male patient, with no toxic habits or pathological history of interest, came to the andrology clinic for prolonged, non-painful erections of approximately 4 years' duration after blunt perineal trauma with the handlebars of a bicycle.
+Physical examination revealed enlarged corpora cavernosa, not painful on palpation, with no palpable abnormal pulses. Penile sensitivity was preserved. Mobile testicles in both scrotal pouches without alterations.
+As complementary explorations, penile Doppler ultrasound was performed: right cavernous vascularisation apparently preserved; in the most proximal portion of the left corpus cavernosum an anechoic formation was observed (2x1.8x1.5cm) with turbulent flow in its interior, compatible with a long-standing arteriovenous fistula (AVF).
+
+With the diagnosis of high flow Priapism, it was decided to perform pudendal arteriography under local anaesthesia confirming AVF and subsequent embolisation of the same by means of 2 coil 3x5.
+
+After embolisation the patient evolves favourably with complete penile detumecence and normal erections. He is currently asymptomatic.
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+