Image-guided Percutaneous Sclerotherapy of Vascular Malformations of the Male Genitalia - A Retrospective Study
Journal Title: American Journal of Interventional Radiology - Year 2019, Vol 3, Issue 3
Abstract
<span class='strong'>Purpose:</span> Regarding genital lesions, the incidence of male external genitalia vascular anomalies is circa 3%, thereof one-tenth tumors and nine-tenth malformations according to the International Society for the Study of Vascular Anomalies classification. Image-guided percutaneous sclerotherapy in male external genitalia vascular malformations has rarely been described. Therefore, a retrospective analysis of sclerotherapy in a series of eight patients was conducted. <span class='strong'>Materials and Methods:</span> The study was IRB approved. Two radiologists reviewed angiographic reports and analyzed interventionally treated male patients with external genitalia vascular malformations between February 2, 2014, and November 11, 2017, at an interdisciplinary tertiary care Vascular Anomalies Center. Inclusion criteria were a slow-flow malformation of the male external genitalia and no interventional treatment before. Operations longer than 1-year past were no exclusion criteria. Patients suffered from lymphatic and/or venous malformations and received percutaneous sclerotherapy. Malformations were treated with polidocanol, ethanol in gel form or OK-432. Patients answered a questionnaire regarding symptoms with repeat after follow-up. The initial state and post-treatment results were compared. Magnetic resonance imaging pre- and post-intervention was assessed. Complications were reported standardized. Results: Eight patients with a mean age of 21.6 years suffered from genital swelling, bleeding, thrombophlebitis, lymphorrhea, skin changes, pain, and functional genitourinary symptoms and were treated with sclerotherapy. All patients reported clinical improvement of symptoms during the average follow-up period of 30 months. No complications ensued. <span class='strong'>Conclusion:</span> Sclerotherapy seems to be a safe and effective treatment of slow-flow malformations of the male external genitalia. Due to the low incidence of the disease, multicenter studies are necessary to assess a larger number of cases.
Authors and Affiliations
Richard Brill, Moritz Guntau, Franz Stangl, Veronika Teusch, Dominik Schramm, Dietrich Stoevesandt, Maliha Sadick, Walter Wohlgemuth
Keywords
Related Articles
- EP ID EP472142
- DOI 10.25259/AJIR-41-2018
- Views 87
- Downloads 0
Ten-Year Experience with Percutaneous Cholecystostomy for Acute Cholecystitis in Men
Objective: To retrospectively analyze the treatment outcomes of male patients who underwent emergent percutaneous cholecystostomy (PC) for biliary decompression in acute cholecystitis. Methods: A single institution retro...
A New Beginning
It is my privilege to accept the position of Editor-in Chief of the American Journal of Interventional Radiology (AJIR) (Americanjir.com). The way we communicate has changed and the medical publishing world has changed a...
Use of intraventricular alteplase in a patient with moyamoya and acute intraventricular hemorrhage: A case report
Intraventricular hemorrhage (IVH) remains a significant cause of morbidity and mortality. Intraventricular alteplase is a recently established therapy, with the clot lysis: Evaluating accelerated resolution of IVH (CLEAR...
Squamous Cell Carcinoma Tumor Seeding after Percutaneous Biopsy: A Rare Complication
Tumor seeding following percutaneous biopsy is an exceedingly rare complication. We present a case of a 65-year-old male with metastatic squamous cell carcinoma, likely of pulmonary origin, who developed paraspinal muscu...
Safety and Efficacy of Angio-Seal Closure in Antegrade Superficial Femoral Artery Access
Objective: Arterial access for endovascular revascularization in patients with debilitating peripheral arterial disease is commonly achieved through retrograde common femoral artery (CFA) approach. However, retrograde ac...