内镜泌尿外科手术中意外勃起的处理
The Management of Unplanned Erection during Endoscopic Urological Surgery.
作者信息
Gray Martin, Vasdev Nikhil, Gowrie-Mohan Shan, McNicholas Tom
机构信息
Department of Anesthesia, Lister Hospital, Stevenage, UK.
Department of Urological Surgery, Lister Hospital, Stevenage, UK.
出版信息
Curr Urol. 2017 Aug;10(3):113-117. doi: 10.1159/000447163. Epub 2017 Jul 30.
Abstract
Penile erection at the time of urological surgery is a rare but problematic event which can delay, complicate or even lead to the cancellation of planned surgery. Erection may occur irrespective of the type of anesthetic method employed. Several techniques for treatment of this troublesome complication have been described in the literature, all with varying levels of success and potential adverse effects. In our experience over the last 25 years, we have found that intracavernous injection of ephedrine into the penis has a 100% success rate in safely producing detumescence with minimum side effects and should therefore be considered early among the treatment options for this condition.
摘要
泌尿外科手术时阴茎勃起是一种罕见但成问题的情况，可能会延迟、使计划中的手术复杂化甚至导致手术取消。无论采用何种麻醉方法，都可能发生勃起。文献中描述了几种治疗这种棘手并发症的技术，其成功率和潜在不良反应各不相同。根据我们过去25年的经验，我们发现向阴茎海绵体内注射麻黄碱在安全实现消肿方面成功率为100%，且副作用最小，因此在这种情况的治疗选择中应尽早考虑。
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