Seideman Casey A, Gitlin Jordan S
Cohen Children's Medical Center, Lake Success, NY.
Cohen Children's Medical Center, Lake Success, NY.
Urology. 2017 Dec;110:220-222. doi: 10.1016/j.urology.2016.08.047. Epub 2016 Sep 28.
We present the first reported case of refractory pediatric priapism treated by intracavernosal tunneling T shunt. A 12-year-old male, with sickle cell disease, presented with 72 hours of painful erection. The patient failed conservative measures including aspiration, injection of phenylephrine, as well as distal shunt procedure. A T-T shunt was performed, as previously described in the adult literature. There was immediate resolution of the erection with no complications. At 1-year follow-up, he reports no subsequent episodes of priapism and normal erections. T shunt with tunneling can be performed in select cases of severe pediatric refractory ischemic priapism.
我们报告首例经海绵体内隧道T形分流术治疗难治性小儿阴茎异常勃起的病例。一名12岁患镰状细胞病的男性出现阴茎疼痛性勃起72小时。该患者对包括抽吸、注射去氧肾上腺素以及远端分流术在内的保守治疗均无效。按照成人文献中先前描述的方法进行了T形分流术。勃起立即消退，无并发症。在1年的随访中，他报告未再出现阴茎异常勃起发作，勃起功能正常。对于某些严重的小儿难治性缺血性阴茎异常勃起病例，可采用带隧道的T形分流术。
