Hoyerup Peter, Azawi Nessn Htum
Department of Urology, Roskilde Hospital, Roskilde, Denmark.
BMJ Case Rep. 2013 Aug 9;2013:bcr2013200031. doi: 10.1136/bcr-2013-200031.
With only 34 prior cases in world literature, partial priapism (PP), also called partial segmental thrombosis of the corpus cavernosum, is a rare urological condition. The aetiology and treatment of PP is still unclear, but bicycle riding, trauma, drug usage, sexual intercourse, haematological diseases and α-blockers have been associated with PP. In this case report and world literature review, we describe the case of a 50-year-old man suffering from PP after ingesting 100 mg of sildenafil. The patient was treated with a surgical incision for corpus cavernosum and clot evacuation, as a conservative treatment of PP was not feasible due to severe pain and unresponsiveness to analgesics.
阴茎异常勃起(PP),又称海绵体部分节段性血栓形成,在世界文献中仅有34例先前病例,是一种罕见的泌尿外科疾病。PP的病因和治疗仍不明确,但骑自行车、外伤、药物使用、性交、血液系统疾病和α受体阻滞剂与PP有关。在本病例报告和世界文献综述中,我们描述了一名50岁男性在服用100毫克西地那非后发生PP的病例。由于剧痛且对镇痛药无反应,保守治疗PP不可行,该患者接受了海绵体手术切开和血块清除治疗。