Department of Urology, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Fertil Steril. 2020 Jan;113(1):6-12. doi: 10.1016/j.fertnstert.2019.11.013.
This literature review presents two unusual and mystifying disorders of penile erection: painful nocturnal erections, alternatively termed sleep-related painful erections, and idiopathic stuttering priapism, a variant of recurrent ischemic priapism in which no cause is discernible. The disorders are closely related although they are distinct clinically and pathologically. The main subject areas of discussion are recognition, clinical evaluation and management although current concepts surrounding their causes and mechanisms are also addressed. It is acknowledged that despite the perceived rarities of these disorders they are impactful in terms of their disease profiles and consequences. Future advances in their management will require continued development of evidence-based treatments.
疼痛性夜间勃起，也称为与睡眠相关的疼痛性勃起，以及特发性口吃性阴茎异常勃起，这是一种复发性缺血性阴茎异常勃起的变体，其中无法发现任何原因。尽管这两种疾病在临床上和病理学上都有明显的区别，但它们密切相关。讨论的主要主题领域是认识、临床评估和管理，尽管也涉及到它们的病因和发病机制的当前概念。尽管这些疾病被认为很罕见，但它们的疾病特征和后果还是有影响的。这些疾病的管理方面的未来进展需要持续开发基于证据的治疗方法。
