Towbin Richard, Hurh Peter, Baskin Kevin, Cahill Anne Marie, Carr Michael, Canning Douglas, Snyder Howard, Kaye Robin
Children's Hospital of Philadelphia, Philadelphia, PA 19103, USA.
Pediatr Radiol. 2007 May;37(5):483-7. doi: 10.1007/s00247-007-0441-1. Epub 2007 Mar 20.
Priapism is defined as involuntary, prolonged penile erection caused by factors other than sexual arousal, and is classified as either low-flow or high-flow. Embolotherapy is an accepted form of therapy in adults with high-flow priapism. Because the differences in etiology, management and outcome are significant, accurate and timely diagnosis is imperative.
The purpose of this report is to present our experience with embolotherapy for treatment of high-flow priapism in three children.
This was a retrospective study. During an 18-month period, three boys ranging in age from 6 to 15 years presented with priapism. All three children were treated with embolotherapy.
All three children were successfully treated with angiography and embolotherapy. One boy had a presentation that initially raised the possibility of low-flow priapism. No complications occurred, and to date all children are able to maintain normal erections.
Subselective transcatheter embolization is the procedure of choice for high-flow priapism. In cases where priapism persists despite adequate therapy, angiography might be useful to exclude high-flow disease. In children with high-flow priapism, selective occlusion of the penile arteriovenous fistula led to detumescence and normal erectile function.
阴茎异常勃起被定义为由性唤起以外的因素引起的非自愿性、持续性阴茎勃起，分为低流量型或高流量型。栓塞疗法是治疗成人高流量型阴茎异常勃起的一种公认治疗方式。由于病因、治疗方法和结果存在显著差异，准确及时的诊断至关重要。
本报告旨在介绍我们对三名儿童高流量型阴茎异常勃起进行栓塞治疗的经验。
这是一项回顾性研究。在18个月期间，三名年龄在6至15岁的男孩出现阴茎异常勃起。所有三名儿童均接受了栓塞治疗。
所有三名儿童均通过血管造影和栓塞治疗成功治愈。一名男孩的表现最初增加了低流量型阴茎异常勃起的可能性。未发生并发症，迄今为止，所有儿童均能够维持正常勃起。
超选择性经导管栓塞术是高流量型阴茎异常勃起的首选治疗方法。在经过充分治疗后阴茎异常勃起仍持续的情况下，血管造影可能有助于排除高流量疾病。对于高流量型阴茎异常勃起的儿童，选择性闭塞阴茎动静脉瘘可导致消肿并恢复正常勃起功能。
