术中阴茎勃起
Intraoperative penile erection.
作者信息
Rao T H, Zaman W, Jain R K
机构信息
Department of Urology and Anaesthesia, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, UP, India.
出版信息
Arch Esp Urol. 2000 Dec;53(10):953-6.
OBJECTIVE
Penile erection following epidural anesthesia is an infrequent occurrence of unclear etioogy. It is very troublesome to perform the procedure during penile erection and attempting it leads to various complications. Three such cases are reported herein. The literature on the pathophysiology and management of intraoperative penile erection is discussed.
METHODS
Eighteen hundred patients who received epidural anesthesia for various transurethral procedures like cystoscopy, ureterorenoscopy, transurethral resection of prostate and bladder tumors form the clinical material.
RESULTS
Out of 1800 cases, we have encountered penile erection only in three cases. Two cases were managed with local application of cold saline and cold sponging followed by terbutaline. The third case could be managed with local application of cold saline and cold sponging of scrotum and penis. Afterwards the procedure could be performed safely.
CONCLUSION
The pathophysiology and management of intraoperative penile erection is poorly understood. With the onset of erection during an operative procedure, the anesthesiologist must quickly initiate the therapy, as duration of erection is the critical factor in the detumescence of the penis.
目的
硬膜外麻醉后阴茎勃起是一种罕见且病因不明的情况。在阴茎勃起时进行手术非常麻烦，强行进行会导致各种并发症。本文报告三例此类病例，并讨论术中阴茎勃起的病理生理学及处理方法。
方法
以1800例接受硬膜外麻醉进行各种经尿道手术（如膀胱镜检查、输尿管肾镜检查、经尿道前列腺切除术及膀胱肿瘤切除术）的患者作为临床资料。
结果
在1800例病例中，仅3例出现阴茎勃起。2例采用局部应用冷盐水及冷纱布冷敷，随后使用特布他林处理。第3例通过局部应用冷盐水及对阴囊和阴茎进行冷纱布冷敷处理。之后手术得以安全进行。
结论
术中阴茎勃起的病理生理学及处理方法尚不清楚。手术过程中一旦出现勃起，麻醉医生必须迅速启动治疗，因为勃起持续时间是阴茎消肿的关键因素。
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