Ringe K I, Waalkes S, Herrmann T, Galanski M, Rosenthal H
Institut für Radiologie, Medizinische Hochschule Hannover, Carl-Neuberg Strasse 1, 30625, Hannover, Germany.
Urologe A. 2010 Jun;49(6):747-9. doi: 10.1007/s00120-009-2189-8.
We present the case of a 22 year old man who developed a permanent penile erection after a blunt perineal trauma. Conservative treatment in terms of cooling, compression and puncture of the cavernosal corpora with blood aspiration failed to resolve the priapism. Angiography confirmed the diagnosis of high-flow priapism caused by an arteriovenous fistula. Interventional coil embolization of the fistula was effective meaning that complete detumescence was achieved and erectile function was preserved.
我们报告一例22岁男性，在会阴部钝性创伤后出现持续性阴茎勃起。在采取冷却、加压以及穿刺海绵体抽血等保守治疗措施后，阴茎异常勃起仍未缓解。血管造影证实为动静脉瘘导致的高流量型阴茎异常勃起。对瘘管进行介入性线圈栓塞治疗有效，即阴茎完全消肿且勃起功能得以保留。
