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高流量阴茎异常勃起的血管内介入治疗:一例报告。

Endovascular intervention with high-flow priapism: A case report.

作者信息

Dung Le Thanh, Loc Tran Quang, Khuyen Pham Huu, Hai Dao Xuan, Tuan Ho Xuan, Duc Nguyen Minh

机构信息

Department of Radiology, University of Medicine and Pharmacy (VNU-UMP), Vietnam National University, Hanoi, Vietnam.

Department of Radiology, Viet Duc Hospital, Hanoi, Vietnam.

出版信息

Radiol Case Rep. 2024 Mar 1;19(5):2031-2034. doi: 10.1016/j.radcr.2024.02.033. eCollection 2024 May.

Abstract

High-flow priapism is a rare condition in the form of priapism unrelated to sexual stimulation. The disease causes a decline in quality of life and has the risk of causing long-term erectile dysfunction if not treated promptly. We report a case of a 48-year-old male patient with prolonged high-flow erection after trauma who received endovascular intervention with n-butyl-2 cyanoacrylate biological glue. Results after 40 days of intervention and use of sildenafil 25 mg/day, the patient has an erection and has normal sexual activity. Cavernous arteriovenous fistula causing priapism with high flow is a rare condition. Computed tomography helps supplement information about feeding vessels as well as accompanying injuries for comprehensive assessment before treatment. Currently, there are many treatment methods, but transcatheter arterial embolization is modality of choice for achieve clinical efficacy and can safely and flexibly reduce the risk of secondary erectile dysfunction.

摘要

高流量性阴茎异常勃起是一种与性刺激无关的阴茎异常勃起形式的罕见病症。该疾病会导致生活质量下降,若不及时治疗,有引发长期勃起功能障碍的风险。我们报告一例48岁男性患者,外伤后出现持续性高流量勃起,接受了用正丁基-2-氰基丙烯酸酯生物胶进行的血管内介入治疗。干预40天后及使用25毫克/天西地那非后的结果显示,患者能够勃起且有正常的性活动。由海绵体动静脉瘘引起的高流量性阴茎异常勃起是一种罕见病症。计算机断层扫描有助于补充有关供血血管以及伴随损伤的信息,以便在治疗前进行全面评估。目前有多种治疗方法,但经导管动脉栓塞术是实现临床疗效的首选方式,并且能够安全灵活地降低继发性勃起功能障碍的风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d78/10917634/ecf071f5c56d/gr1.jpg

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