Llorente C, Baena V, Carnero J, Rodríguez J, Fernández Ovies J M
Servicio de Urología, Hospital de Vélez-Málaga.
Actas Urol Esp. 1990 Nov-Dec;14(6):444-5.
Currently, each case of priapism therapy must be customized depending on the patient's individual pathophysiology. To this end, in addition to anamnesis and the macroscopic aspect of the suctioned blood, quantification of existing ischaemia by cavernous gasometry is quite important. This will make possible the distinction between two types of priapism: ischaemic, vein-occlusive or low-flow; and nonischaemic, arterial or high-flow. Each of these priapism types presents a clearly different mechanism of production and, more importantly, a different response to the various therapeutic options currently available. The ischaemic form responds to suction-washing procedures and to the various techniques of vein by-pass. On the contrary, these manoeuvres will be useless in non-ischaemic or arterial priapism, where alpha-adrenergic injections or lacerated artery embolization should to be used.
目前，每例阴茎异常勃起的治疗都必须根据患者个体病理生理情况进行定制。为此，除了问诊和吸出血液的宏观特征外，通过海绵体气体测量法对现有缺血情况进行量化非常重要。这将有助于区分两种类型的阴茎异常勃起：缺血性、静脉闭塞性或低流量型；以及非缺血性、动脉性或高流量型。每种类型的阴茎异常勃起都有明显不同的产生机制，更重要的是，对目前可用的各种治疗方法有不同的反应。缺血性类型对抽吸冲洗程序和各种静脉旁路技术有反应。相反，这些操作在非缺血性或动脉性阴茎异常勃起中是无用的，在这种情况下应使用α-肾上腺素能注射或动脉破裂栓塞术。
