Buford Karis, Phung Lauren, Zwaans Bernadette M M, Padmanabhan Priya, Rubin Rachel S, Peters Kenneth M
Department of Urology, Corewell Health William Beaumont University Hospital, Royal Oak, MI 48073, United States.
Oakland University William Beaumont School of Medicine, Rochester, MI 48309, United States.
Sex Med. 2024 Dec 3;12(6):qfae082. doi: 10.1093/sexmed/qfae082. eCollection 2024 Dec.
Clitoral priapism is persistent clitoral engorgement without sexual stimulation. Presentation is sparse, and therefore limited treatment options have been investigated.
We present a case report of a 34-year-old female presenting with persistent nonischemic clitoral priapism 5 years after aggressive clitoral stimulation.
Patient underwent six weekly Li-ESWT sessions at frequency 4 Hz, energy 0.11 mJ for 2000 shocks per session. Assessment included physical examination of clitoral glans engorgement and retraction, global response assessment (GRA) score, need for topical phenylephrine, and ability to achieve orgasm.
At the end of the therapy, examination revealed complete resolution of priapism with a normal-appearing clitoris fully retracted behind the clitoral hood. The patient reported no longer requiring topical phenylephrine, a significant improvement in GRA, and the ability to achieve orgasm.
We present a case of nonischemic clitoral priapism resolved with Li-ESWT. More investigation regarding the utilization of Li-ESWT in the treatment of clitoral priapism is highly encouraged.
阴蒂异常勃起是指在没有性刺激的情况下阴蒂持续充血。相关病例报告较少，因此对其治疗方案的研究也很有限。
我们报告一例34岁女性病例，该患者在经历强烈阴蒂刺激5年后出现持续性非缺血性阴蒂异常勃起。
患者每周接受6次低强度体外冲击波疗法（Li-ESWT），频率为4赫兹，能量为0.11毫焦，每次治疗2000次冲击。评估内容包括对阴蒂头充血和回缩情况的体格检查、整体反应评估（GRA）评分、使用局部苯肾上腺素的必要性以及达到性高潮的能力。
治疗结束时，检查发现阴蒂异常勃起完全消退，外观正常的阴蒂完全回缩至阴蒂包皮后方。患者报告不再需要局部使用苯肾上腺素，GRA评分显著改善，并且能够达到性高潮。
我们报告了一例通过Li-ESWT治愈的非缺血性阴蒂异常勃起病例。强烈鼓励对Li-ESWT在阴蒂异常勃起治疗中的应用进行更多研究。
