Hsiao Wayland, Lian Fei, Goodgame Brooks, Ritenour Chad W M, Angell Jordan, Master Viraj A
Department of Urology, Emory University School of Medicine, Atlanta, GA 30322, USA.
Case Rep Urol. 2013;2013:215492. doi: 10.1155/2013/215492. Epub 2013 Jun 2.
Purpose. Intracavernosal self-injection (ICI) was first described in 1982, and remains a viable therapy for erectile dysfunction. However, intracorporal needle breakage can be a rare complication of therapy. We report a rare complication of intracorporal needle breakage and a retention of a 30-gauge needle in a 42-year-old paraplegic man. We discuss our experience in using portable high-frequency ultrasound intraoperatively to visualize and guide removal of a retained ICI needle. Materials and Methods. Review of case and ultrasound technique are presented. Results. Using intraoperative ultrasound imaging, the retained intracorporal needle was successfully removed from the patient's penis without any complications. Follow-up ultrasonography and X-ray confirmed complete removal of the needle. Conclusions. We report on the successful implementation and use of a portable high-frequency ultrasound probe to visualize a retained intracorporal needle inside the penis and its use to guide removal. Given the rapid proliferation of portable ultrasound machines in the operating room and out in the field, we expect these imaging techniques to become routine, especially in urological emergencies.
目的。海绵体内自我注射（ICI）于1982年首次被描述，至今仍是治疗勃起功能障碍的一种可行疗法。然而，体内针断裂可能是该治疗的一种罕见并发症。我们报告了一例42岁截瘫男性体内针断裂并滞留一枚30号针的罕见并发症。我们讨论了术中使用便携式高频超声来可视化并引导取出滞留的ICI针的经验。材料与方法。介绍病例及超声技术回顾。结果。通过术中超声成像，成功从患者阴茎中取出滞留的体内针，未出现任何并发症。随访超声检查及X线检查证实针已完全取出。结论。我们报告了便携式高频超声探头在可视化阴茎内滞留的体内针并用于引导取出方面的成功实施与应用。鉴于便携式超声设备在手术室及现场的迅速普及，我们预计这些成像技术将成为常规手段，尤其是在泌尿外科急症中。
