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阴茎多普勒超声检查后发生的阴茎异常勃起与国际勃起功能指数评分及勃起硬度评分水平之间是否存在关联?

Is there a relation between priapism occurring after penile doppler ultrasonography and international erectile function index score and erection hardness score levels?

作者信息

Sönmez Mehmet Giray, Öztürk Ahmet

机构信息

Department of Urology, Meram Medical Faculty, Necmettin Erbakan University, Konya, Turkey.

出版信息

Turk J Urol. 2017 Dec;43(4):439-743. doi: 10.5152/tud.2017.59852. Epub 2017 Dec 1.

Abstract

OBJECTIVE

The relation between Erection Hardness Score (EHS) and The International Erectile Function Index (IIEF) Questionnaire- Erectile Function Domain Score (IIEF-EF score) used in erectile dysfunction (ED) evaluation and the prevalence of priapism after penile Doppler ultrasonography (PDU) was examined in this study.

MATERIAL AND METHODS

A total of 62 patients who had PDU were included in the study. Patients were divided into two groups; there were 33 patients in IIEF-EF score ≤10, EHS <2 group (Group 1) and 29 patients in IIEF-EF score >10, EHS ≥2 group (Group 2). The two groups separated according to their scores were compared for age, body mass index (BMI), prevalence of priapism, vascular comorbidities and duration of erection.

RESULTS

When compared to Group 2, median age, rate of vascular comorbidities rate and BMI were detected to be higher in Group 1 with IIEF-EF score ≤10 and EHS <2. But contrary to age and rate of vascular comorbidities (p=0.035, p=0.049 respectively), higher BMI was detected to be statistically insignificant (p=0.093). Duration of erection, IIEF-EF score and number of cases with priapism were significantly higher in Group 2 with IIEF-EF score >10 and EHS ≥2 (p<0.001, p=0.027, p=0.049 respectively).

CONCLUSION

High IIEF-EF and EHS scores, younger ages and lower rates of vascular comorbidities in patients from whom PDU was demanded increase the prevalence of priapism.

摘要

目的

本研究探讨勃起硬度评分(EHS)与用于勃起功能障碍(ED)评估的国际勃起功能指数(IIEF)问卷-勃起功能领域评分(IIEF-EF评分)之间的关系,以及阴茎多普勒超声检查(PDU)后阴茎异常勃起的发生率。

材料与方法

本研究共纳入62例行PDU的患者。患者分为两组;IIEF-EF评分≤10、EHS<2组(第1组)有33例患者,IIEF-EF评分>10、EHS≥2组(第2组)有29例患者。比较根据评分分组的两组患者的年龄、体重指数(BMI)、阴茎异常勃起的发生率、血管合并症及勃起持续时间。

结果

与第2组相比,IIEF-EF评分≤10且EHS<2的第1组患者的年龄中位数、血管合并症发生率和BMI更高。但与年龄和血管合并症发生率相反(分别为p=0.035、p=0.049),较高的BMI在统计学上无显著差异(p=0.093)。IIEF-EF评分>10且EHS≥2的第2组患者的勃起持续时间、IIEF-EF评分和阴茎异常勃起病例数显著更高(分别为p<0.001、p=0.027、p=0.049)。

结论

要求行PDU的患者中,较高的IIEF-EF和EHS评分、较年轻的年龄以及较低的血管合并症发生率会增加阴茎异常勃起的发生率。

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本文引用的文献

1
Clinical Management of Priapism: A Review.阴茎异常勃起的临床管理:综述
World J Mens Health. 2016 Apr;34(1):1-8. doi: 10.5534/wjmh.2016.34.1.1. Epub 2016 Apr 30.
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Erectile dysfunction.勃起功能障碍。
Intern Med J. 2014 Jan;44(1):18-26. doi: 10.1111/imj.12325.
7
European Association of Urology guidelines on priapism.欧洲泌尿外科学会阴茎异常勃起指南。
Eur Urol. 2014 Feb;65(2):480-9. doi: 10.1016/j.eururo.2013.11.008. Epub 2013 Nov 16.

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