Hsu Geng-Long, Chang Yi-Kai, Chiang I-Ni, Hsu Chih-Yuan, Chang Hong-Chiang, Chueh Shih Chieh Jeff
Microsurgical Potency Reconstruction and Research Center, Hsu's Andrology, Shu-Tien Urology Ophthalmology Clinic and Chung Shan Hospital, Taipei, Taiwan.
Department of Urology, National Taiwan University Hospital, No. 7, Chung-Shan South Road, 10002, Taipei, Taiwan.
Urol Case Rep. 2022 Jul 20;44:102166. doi: 10.1016/j.eucr.2022.102166. eCollection 2022 Sep.
Coil embolization (CE) is believed effective-safe for treating penile veno-occlusive dysfunction (VOD). From 2012 to 2016, refractory impotence prompted four men to seek further treatment, although they underwent six CEs elsewhere. Uncontrolled coils scattered along penile drainage veins including the deep dorsal veins (n = 3), periprostatic plexus (n = 1), iliac vein (n = 1), right pulmonary artery (n = 2), left pulmonary artery (n = 1), and right ventricle (n = 1). The last one occurred in a 40-year-old house builder, and the coil perforated the right ventricle wall and diaphragm 18 months later. Given no sustainable improvement, CE's safety and efficacy are unreliable for treating patients with VOD.
线圈栓塞术（CE）被认为是治疗阴茎静脉闭塞功能障碍（VOD）的有效且安全的方法。2012年至2016年间，四名男性因难治性阳痿寻求进一步治疗，尽管他们在其他地方接受了六次线圈栓塞术。未控线圈散布在阴茎引流静脉，包括阴茎深静脉（n = 3）、前列腺周围静脉丛（n = 1）、髂静脉（n = 1）、右肺动脉（n = 2）、左肺动脉（n = 1）和右心室（n = 1）。最后一例发生在一名40岁的房屋建筑工人身上，18个月后线圈穿透了右心室壁和膈肌。鉴于没有持续改善，线圈栓塞术治疗VOD患者的安全性和有效性不可靠。
