Tambo Mitsuhiro, Ohta Masaya, Murata Akihiro, Okegawa Takatsugu, Horie Shigeo, Nutahara Kikuo, Higashihara Eiji
Department of Urology, Kyorin University, School of Medicine.
Nihon Hinyokika Gakkai Zasshi. 2003 Jul;94(5):578-81. doi: 10.5980/jpnjurol1989.94.578.
We report a case of 50-year-old man with high flow priapism after blunt perineal trauma. Patient evaluation included intracavernal blood-gasometry, cavernography, color flow Doppler sonography, and internal pudendal arteriography. Although conservative treatment had been tried by an alpha-adrenergic agent, temporary effect was only obtained. We could successfully treat the priapism by percutaneous embolization of the left internal pudendal artery with autologous blood clot and Gelatin. 3 months after the embolization, erectile function of the patient recovered. High flow priapism as reported to date in the literature is also briefly reviewed.
我们报告一例50岁男性在会阴部钝性创伤后发生高流量阴茎异常勃起。患者评估包括海绵体内血气分析、海绵体造影、彩色多普勒超声检查以及阴部内动脉造影。尽管已尝试使用α-肾上腺素能药物进行保守治疗,但仅获得了暂时的效果。我们通过用自体血凝块和明胶对左侧阴部内动脉进行经皮栓塞成功治疗了阴茎异常勃起。栓塞3个月后,患者的勃起功能恢复。本文还简要回顾了迄今为止文献中报道的高流量阴茎异常勃起。