特发性持续性阴茎异常勃起：通过短期使用抗雄激素恢复阴茎消肿机制

Idiopathic stuttering priapism: recovery of detumescence mechanism with temporal use of antiandrogen.

作者信息

Yamashita Nana, Hisasue Shin-ichi, Kato Ryuichi, Masumori Naoya, Takahashi Atsushi, Itoh Naoki, Tsukamoto Taiji

机构信息

Department of Urology, Sapporo Medical University, Chuo-ku, Sapporo, Japan.

出版信息

Urology. 2004 Jun;63(6):1182-4. doi: 10.1016/j.urology.2004.02.005.

DOI:10.1016/j.urology.2004.02.005

PMID:15183981

Abstract

We report a case of idiopathic stuttering priapism in a 56-year-old Japanese man. We treated his recurrent priapism in stepwise fashion by withdrawal of the alpha/beta-blocker he used for hypertension, administration of low doses of an antiandrogen and baclofen, and finally by increasing the dose of antiandrogen, which lowered his testosterone to the castration level and was effective in preventing priapism. After 6 months of antiandrogen treatment, his erectile function gradually recovered to the baseline level, and he had no recurrence of priapism during the following 6 months without any medication.

摘要

我们报告了一例56岁日本男性特发性口吃性阴茎异常勃起的病例。我们通过逐步停药他用于治疗高血压的α/β受体阻滞剂、给予低剂量抗雄激素和巴氯芬，最后增加抗雄激素剂量来治疗他的复发性阴茎异常勃起，这使他的睾酮降至去势水平，并有效预防了阴茎异常勃起。抗雄激素治疗6个月后，他的勃起功能逐渐恢复到基线水平，并且在接下来6个月未用药期间阴茎异常勃起未复发。