阴茎异常勃起近端海绵体分流术后并发尿道皮肤瘘和尿道海绵体瘘

Simultaneous urethrocutaneous and urethrocavernous fistula after proximal corporospongiosal shunt for priapism.

作者信息

Manjunath Adarsh S, Mazur Daniel J, Han Justin S, Gonzalez Christopher M

机构信息

Department of Urology, Feinberg School of Medicine, Northwestern University, Chicago, IL.

出版信息

Urology. 2015 Mar;85(3):e13-4. doi: 10.1016/j.urology.2014.12.018.

DOI:10.1016/j.urology.2014.12.018

PMID:25733307

Abstract

Proximal corporospongiosal shunts are used for the most refractory cases of priapism. Here, we present the case of a 58-year-old man whose priapism was only partially responsive to phenylephrine injections and distal shunting. Proximal shunting was required, and he subsequently developed fistulization of the proximal penile urethra into the skin and the corpora cavernosa. The formation of simultaneous urethrocutaneous and urethrocavernous fistulae is a rare complication of proximal corporospongiosal shunts that can be initially managed with urinary diversion with a suprapubic tube.

摘要

近端海绵体分流术用于治疗最顽固的阴茎异常勃起病例。在此，我们报告一例58岁男性患者，其阴茎异常勃起仅对去氧肾上腺素注射和远端分流部分有效。需要进行近端分流，随后他出现了近端阴茎尿道与皮肤及海绵体之间的瘘管形成。同时发生尿道皮肤瘘和尿道海绵体瘘是近端海绵体分流术罕见的并发症，最初可通过耻骨上管进行尿液改道来处理。