一名跨性别男性的阴蒂异常勃起
Clitoral Priapism in a Transgender Male.
作者信息
Kusko Rebecca E, Singhal Esha, Kauffman Robert P
机构信息
Texas Tech University Health Sciences Center School of Medicine, Amarillo, TX, USA.
Department of Obstetrics and Gynecology, Texas Tech University Health Sciences Center School of Medicine, Amarillo, TX, USA.
出版信息
Sex Med. 2021 Dec;9(6):100431. doi: 10.1016/j.esxm.2021.100431. Epub 2021 Oct 1.
INTRODUCTION
Clitoral priapism due to venous outflow obstruction is a rare event and medical emergency. Androgen-induced clitoromegaly in transgender men has not been previously identified as a risk factor.
AIMS
Advance current knowledge on identification and treatment of clitoral priapism in the transgender male.
METHODS
A 32 year-old presurgical transgender male underwent gender-affirming laparoscopic total hysterectomy and bilateral salpingo-oöphorectomy without incident. Seven days postop, he developed progressive and painful clitoral engorgement that was persistent. Examination and imaging were consistent with clitoral priapism.
RESULTS
Clitoral priapism was treated with adrenergic drugs (imipramine and pseudoephedrine) with rapid resolution of symptoms.
CONCLUSION
Clitoral priapism is a rare phenomenon usually associated with use of a psychotropic medication. Whether clitoromegaly secondary to androgen administration in transgender men is a risk factor for this rare medical emergency is unknown. Prompt recognition and treatment is paramount. Kusko RE, Singhal E, Kauffman RP. Clitoral Priapism in a Transgender Male. Sex Med 2021;9:100431.
引言
因静脉回流受阻导致的阴蒂异常勃起是一种罕见的医疗急症。雄激素诱导的跨性别男性阴蒂肥大此前未被确定为一个风险因素。
目的
增进对跨性别男性阴蒂异常勃起的识别与治疗的现有知识。
方法
一名32岁的术前跨性别男性顺利接受了性别确认性腹腔镜全子宫切除术和双侧输卵管卵巢切除术。术后七天，他出现了进行性且疼痛的阴蒂肿胀，且持续不消。检查和影像学结果与阴蒂异常勃起相符。
结果
阴蒂异常勃起采用肾上腺素能药物（丙咪嗪和伪麻黄碱）治疗，症状迅速缓解。
结论
阴蒂异常勃起是一种罕见现象，通常与使用精神药物有关。跨性别男性中雄激素给药继发的阴蒂肥大是否是这种罕见医疗急症的一个风险因素尚不清楚。及时识别和治疗至关重要。库斯科·R·E、辛哈尔·E、考夫曼·R·P。一名跨性别男性的阴蒂异常勃起。性医学2021；9：100431。
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