O'Sullivan P, Browne R, McEniff N, Lee M J
Department of Academic Radiology, Beaumont Hospital, Beaumont Road, Dublin 9, Ireland.
Cardiovasc Intervent Radiol. 2006 Mar-Apr;29(2):198-201. doi: 10.1007/s00270-005-0089-x.
To review the efficacy of treatment of high-flow priapism with superselective transcatheter embolization.
Over a 2-year period, we reviewed five patients who were treated for traumatic high-flow priapism with superselective embolization. All patients underwent diagnostic angiography that demonstrated a communication between the cavernosal artery and the corpora cavernosa. Each identified fistula was embolized using gel-foam, blood clot, microcoils, or a combination of these.
All five patients had successful detumesence of priapism postprocedure. There was normal recurrence of early morning erection with successful detumescence for each patient within a 2- to 4-week period. Two of five patients (40%) presented with recurrence of priapism at 6 months and required a repeat embolization procedure. At 1 year, four of the five patients (80%) had normal erectile function.
Superselective transcatheter embolization is a useful therapeutic modality in the treatment of high-flow priapism. It provides equivalent rates of detumesence when compared to surgical techniques, and appears to have a greater success in preserving erectile function.
回顾经超选择性经导管栓塞治疗高流量性阴茎异常勃起的疗效。
在两年时间里，我们回顾了5例接受超选择性栓塞治疗创伤性高流量性阴茎异常勃起的患者。所有患者均接受了诊断性血管造影，显示海绵体动脉与海绵体之间存在交通。每个识别出的瘘管用明胶海绵、血凝块、微线圈或这些材料的组合进行栓塞。
所有5例患者术后阴茎异常勃起均成功消退。每位患者在2至4周内阴茎异常勃起成功消退，晨勃恢复正常。5例患者中有2例（40%）在6个月时出现阴茎异常勃起复发，需要再次进行栓塞治疗。1年后，5例患者中有4例（80%）勃起功能正常。
超选择性经导管栓塞是治疗高流量性阴茎异常勃起的一种有效治疗方式。与手术技术相比，它能提供相当的消退率，并且在保留勃起功能方面似乎有更大的成功率。
