Tscholl R
Schweiz Med Wochenschr. 1975 Apr 26;105(17):517-21.
Priapism can occur when pathologic stimuli (e.g. lesions of the cervical spinal cord) cause prolonged erection, and when normal stimuli under pathologic circumstances (e.g. sickle cell disease, leukemia) produce prolonged erection. As any priapism eventually leads to permanent impotentia coeundi, immediate therapy is absolutely indicated. All unspecific procedures are useless and merely waste time. The priapism in connection with hematologic diseases must be countered by conservative specific therapy (sickle cell disease by blood transfusions; leukemias by cytostatic drugs). All other forms of priapism must be treated by surgery as soon as possible. The operation of choice today perineal bilateral shunt between the corpus cavernosum and the corpus spongiosum
当病理性刺激(如颈脊髓损伤)导致阴茎持续勃起,以及在病理情况下正常刺激(如镰状细胞病、白血病)引起阴茎持续勃起时,可发生阴茎异常勃起。由于任何阴茎异常勃起最终都会导致永久性性交不能,因此绝对需要立即治疗。所有非特异性治疗方法均无效且只会浪费时间。与血液系统疾病相关的阴茎异常勃起必须通过保守的特异性治疗来应对(镰状细胞病采用输血治疗;白血病采用细胞毒性药物治疗)。所有其他形式的阴茎异常勃起必须尽快通过手术治疗。目前的首选手术是阴茎海绵体与尿道海绵体之间的会阴双侧分流术