Del Giudice Francesco, Busetto Gian Maria, Chung Benjamin I, Conti Simon L, Ferro Matteo, Maggi Martina, Sciarra Alessandro, Perito Paul E, Gross Martin S, Antonini Gabriele, De Berardinis Ettore
Department of Urology "Sapienza" Rome University Policlinico Umberto I Rome Italy.
Department of Urology Stanford University Medical Center Stanford California USA.
IJU Case Rep. 2018 Sep 20;1(1):13-15. doi: 10.1002/iju5.12019. eCollection 2018 Nov.
Priapism is defined as a persistent tumescence or erection of the penis not associated to sexual desire and/or stimulation. Idiopathic recurrent priapism may also occasionally follow treatment of veno-occlusive priapism and represents a diagnostic and therapeutic challenge.
We report a single case of non-ischemic priapism that resulted after distal shunting procedure for severe and prolonged ischemic priapism and yet occurred without evidence of a cavernosal-sinusoidal fistula that was successfully treated with a bilateral selective arterial embolization. Our protocol of delayed inflatable penile prosthesis placement after a vacuum erectile device program was implemented.
The continuing use of a vacuum erectile device represented a bridge and an adjuvant therapy useful to facilitate later prosthesis placement. Anatomical and functional outcomes were optimal. No postoperative complaints or complications were reported.
阴茎异常勃起被定义为阴茎持续肿胀或勃起，与性欲和/或刺激无关。特发性复发性阴茎异常勃起偶尔也可能在静脉闭塞性阴茎异常勃起治疗后出现，是一个诊断和治疗难题。
我们报告一例非缺血性阴茎异常勃起病例，该病例发生在严重且持续时间长的缺血性阴茎异常勃起进行远端分流手术后，且无海绵体-静脉窦瘘证据，通过双侧选择性动脉栓塞成功治疗。我们实施了在真空勃起装置治疗方案后延迟植入可膨胀阴茎假体的方案。
持续使用真空勃起装置是一座桥梁和辅助治疗手段，有助于后续假体植入。解剖和功能结果最佳。未报告术后不适或并发症。
