创伤后高流量性阴茎异常勃起的超选择性栓塞治疗。

Superselective embolization in posttraumatic high-flow priapism.

机构信息

Department of Radiology - Interventional Radiology, University of Wisconsin Health University of Hospital, Madison, WI, USA.

出版信息

Clin Imaging. 2021 Dec;80:274-276. doi: 10.1016/j.clinimag.2021.07.020. Epub 2021 Jul 28.

DOI:10.1016/j.clinimag.2021.07.020

PMID:34425545

Abstract

We present a case of a 24 year old man who presented with high flow priapism. Priapism is defined as an erection lasting four or more hours, either after or unrelated to sexual stimulation. Priapism can be categorized into low-flow, stuttering, and high-flow types, each with unique mechanisms and treatments. High-flow priapism is caused by an abnormal communication between the artery and sinusoids of the penis, often in the form of an arteriovenous fistula. Super-selective embolization is the treatment of choice for high-flow priapism if conservative measures fail. Super-selective embolization is associated with an 80% success rate and a low chance of post-procedure erectile dysfunction.

摘要

我们报告一例 24 岁男性患者，表现为高流量性阴茎异常勃起。阴茎异常勃起是指勃起持续 4 小时或更长时间，无论是在性刺激后还是与之无关。阴茎异常勃起可分为低流量、间歇性和高流量型，每种类型都有独特的机制和治疗方法。高流量性阴茎异常勃起是由于阴茎动脉和窦之间异常沟通引起的，通常表现为动静脉瘘。如果保守治疗失败，超选择性栓塞是治疗高流量性阴茎异常勃起的首选方法。超选择性栓塞的成功率为 80%，术后发生勃起功能障碍的几率较低。