De Rose A F, Giglio M, De Caro G, Corbu C, Traverso P, Carmignani G
Department of Urology, San Martino Hospital, University of Genoa, Genova, Italy.
Urology. 2001 Sep;58(3):462. doi: 10.1016/s0090-4295(01)01163-3.
Arterial priapism is a rare condition caused by the traumatic formation of an arteriolacunar fistula. We report 2 cases of arterial priapism after cycling injuries. Both patients sustained a violent perineal trauma against the top tube on the bicycle. In both cases, penile detumescence was obtained by superselective arteriographic embolization of the fistula with gelatin sponge or microcoil. The fistula was monolateral in the first case and bilateral in the second. Cycling should be considered a possible risk factor for arterial priapism as it is for urethritis, prostatitis, hematuria, testicular torsion, scrotal and penile numbness, and erectile dysfunction.
动脉性阴茎异常勃起是一种由小动脉海绵体瘘的创伤性形成所导致的罕见病症。我们报告2例自行车骑行损伤后发生动脉性阴茎异常勃起的病例。两名患者均遭受了会阴部猛烈撞击自行车上管的创伤。在这两例病例中，均通过用明胶海绵或微线圈对瘘管进行超选择性动脉造影栓塞术使阴茎消肿。第一例病例中的瘘管为单侧，第二例为双侧。骑自行车应被视为动脉性阴茎异常勃起的一个可能危险因素，就如同它是尿道炎、前列腺炎、血尿、睾丸扭转、阴囊和阴茎麻木以及勃起功能障碍的危险因素一样。
