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阴茎分流术治疗缺血性阴茎异常勃起后发生的海绵体脓肿和阴茎头-尿道瘘

Corpora cavernosum abscess and corporoglanular fistula following penile shunts for ischemic priapism.

作者信息

Wang Henry, Dhar Ankur, Wang Audrey

机构信息

Urology Department, Westmead Hospital, Westmead, 2145, NSW, Australia.

Westmead Clinical School, The University of Sydney, Sydney, Australia.

出版信息

Urol Case Rep. 2023 Feb 1;47:102341. doi: 10.1016/j.eucr.2023.102341. eCollection 2023 Mar.

Abstract

Ischemic priapism is a urologic emergency requiring urgent intervention to prevent tissue necrosis and preserve erectile function. Cases refractory to aspiration and intra-cavernosal sympathomimetic therapy requires timely surgical shunting. Corpus cavernosum abscess following penile shunts is an exceedingly rare complication, with as few as 2 previous reported cases. We report our experience and outcome in the case of a 50-year-old patient who developed a corpora cavernosum abscess and concurrent corporoglanular fistula, following penile shunt procedures for ischemic priapism.

摘要

缺血性阴茎异常勃起是一种泌尿外科急症,需要紧急干预以防止组织坏死并保留勃起功能。对抽吸和海绵体内拟交感神经药治疗无效的病例需要及时进行手术分流。阴茎分流术后海绵体脓肿是一种极其罕见的并发症,此前仅有2例报道。我们报告了一名50岁患者的病例,该患者在因缺血性阴茎异常勃起进行阴茎分流手术后出现了海绵体脓肿和并发的阴茎头海绵体瘘,并介绍了我们的经验和治疗结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bb2/9969299/9590194bf004/gr1.jpg

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