Boston Medical Center, Boston University School of Medicine, 725 Albany street, suite 3B, Boston, MA, 02118, USA.
Dartmouth-Hitchcock Medical Center, Lebanon, NH, 03756, USA.
Curr Urol Rep. 2022 Jul;23(7):143-153. doi: 10.1007/s11934-022-01096-8. Epub 2022 May 10.
Priapism is a rare condition that has different presentations, etiologies, pathophysiology, and treatment algorithms. It can be associated with significant patient distress and sexual dysfunction. We aim to examine the most up-to-date literature and guidelines in the management of this condition.
Priapism is a challenging condition to manage for urologists, since the etiology is often multi-factorial and the suggested treatment algorithms are based on small studies and expert anecdotal experience, perhaps due to the rarity of the disorder. Ischemic priapism of less than 24 h can be managed non-surgically in most cases with excellent results. Ischemic priapism of more than 36 h is frequently associated with permanent erectile dysfunction. Management of prolonged priapism with penile shunting still may result in poor erectile function, so penile prosthesis can be discussed in these scenarios.
阴茎异常勃起是一种罕见的疾病，具有不同的表现、病因、病理生理学和治疗方案。它可能与患者的严重痛苦和性功能障碍有关。我们旨在研究该疾病的最新文献和管理指南。
对于泌尿科医生来说，阴茎异常勃起是一种具有挑战性的疾病，因为病因通常是多因素的，建议的治疗方案是基于小型研究和专家的轶事经验，这可能是由于该疾病的罕见性。大多数情况下，24 小时内的缺血性阴茎异常勃起可以通过非手术方式很好地治疗。36 小时以上的缺血性阴茎异常勃起常伴有永久性勃起功能障碍。阴茎分流术治疗长期阴茎异常勃起仍可能导致勃起功能不佳，因此在这些情况下可以讨论阴茎假体。
