Erceg A, Verlind J, Berretty P J M
Afd. Dermatologie, Catharina Ziekenhuis, Michelangelolaan 2, 5623 EJ Eindhoven.
Ned Tijdschr Geneeskd. 2003 Apr 19;147(16):771-3.
A 35-year-old man presented with a local swelling of the penis, which increased until the entire penis was thick and swollen. After infectious and obstructive causes had been eliminated, a diagnosis of 'penis friction oedema' was made. The swelling disappeared during several weeks of abstinence from sexual intercourse. Penile abnormalities can be divided into venereal diseases (STDs), incidental affections of the skin or mucous membranes in that location, and disorders of vascularisation and lymph drainage. A traumatic disorder of lymph drainage is sometimes referred to, unjustifiably, as 'penile venereal oedema'; it is a result of friction and manifests itself as local or total penile oedema or as a cordlike congestion of the lymphatic vessels. The diagnosis is by exclusion and the treatment is temporary abstinence from sexual intercourse.
一名35岁男性因阴茎局部肿胀就诊,肿胀不断加重,直至整个阴茎变得粗大。在排除感染性和阻塞性病因后,诊断为“阴茎摩擦性水肿”。禁欲数周后肿胀消失。阴茎异常可分为性传播疾病(STD)、该部位皮肤或黏膜的偶发性病变以及血管化和淋巴引流障碍。一种外伤性淋巴引流障碍有时被不合理地称为“阴茎性病性水肿”;它是摩擦的结果,表现为阴茎局部或全部水肿或淋巴管条索状充血。诊断需排除其他疾病,治疗方法是暂时禁欲。