Chen Chung-Chin, Wang Chii-Jye, Chen Chi-Wen, Lee Yung-Chin, Chou Yii-Her, Huang Chun-Hsiung
Department of Urology, Kaohsiung Medical University, Kaohsiung, Taiwan.
Kaohsiung J Med Sci. 2003 Feb;19(2):88-92. doi: 10.1016/S1607-551X(09)70455-3.
Priapism is a prolonged penile erection that is unrelated to sexual stimulation. Low-flow priapism has been associated with sickle cell disease and other hemoglobinopathies, neoplastic syndrome, anticoagulant therapy, psychotropic medication, and idiopathic causes. We report the successful treatment of idiopathic low-flow priapism using the Winter procedure. Initial treatment consisted of aspiration and intracavernous irrigation with iced saline and a vasoconstrictive agent, but in vain. We then performed the Winter procedure, in which fistulas between the corpora cavernosa and the glans penis were created. This resulted in the simultaneous detumescence of the penis, without complication. The erectile function of the penis was normal 1 year after the procedure. This case shows that idiopathic low-flow priapism can be successfully treated using the Winter procedure when conservative treatment fails.
阴茎异常勃起是一种与性刺激无关的持续性阴茎勃起。低流量型阴茎异常勃起与镰状细胞病及其他血红蛋白病、肿瘤综合征、抗凝治疗、精神类药物以及特发性病因有关。我们报告了使用温特手术成功治疗特发性低流量型阴茎异常勃起的病例。初始治疗包括抽吸以及用冰盐水和血管收缩剂进行海绵体内冲洗，但未成功。然后我们进行了温特手术，即在阴茎海绵体和阴茎头之间制造瘘管。这导致阴茎同时消肿，且无并发症。术后1年阴茎勃起功能正常。该病例表明，当保守治疗失败时，使用温特手术可成功治疗特发性低流量型阴茎异常勃起。
