使用近端分流术治疗复发性阴茎异常勃起：夸克尔斯技术。
Treatment of recurrent priapism using proximal shunt: Quackles technique.
作者信息
Toledo Jiménez Miguel, Carracedo Calvo David, Moscatiello Pietro, Fiorillo Alessandro, Quintana Álvarez Rebeca, Pereira Rodríguez Nathalie, Hernández Bermejo Irene, Miñana Toscano Iñigo, Sánchez Encinas Miguel
机构信息
Servicio de Urología Hospital Universitario Rey Juan Carlos Móstoles Spain.
Instituto de Investigación Sanitaria Fundación Jiménez Díaz (IIS-FJD, UAM) Madrid Spain.
出版信息
IJU Case Rep. 2024 Dec 9;8(1):73-76. doi: 10.1002/iju5.12818. eCollection 2025 Jan.
INTRODUCTION
Recurrent priapism is a rare variant of ischemic priapism that involves recurrent erections typically lasting less than 4 h. The primary goal of treatment is to prevent future episodes, with options ranging from pharmacological treatments to various surgeries.
CASE PRESENTATION
A 38-year-old man experienced multiple episodes of priapism that were refractory to angioembolization of an arteriocavernous fistula and oral treatment with Cetirizine and Bicalutamide. After the patient refused intracavernous self-injections, various surgical options were considered. Ultimately, a proximal penile shunt surgery with a cavernosal-spongiosal shunt using the Quackles technique was chosen, which proved effective in preventing episodes and did not affect the patient's erectile function.
CONCLUSION
Penile shunt surgery using the Quackles proximal technique is a safe and effective option for the treatment of recurrent priapism.
引言
复发性阴茎异常勃起是缺血性阴茎异常勃起的一种罕见变体，其特征是反复勃起，通常持续时间少于4小时。治疗的主要目标是预防未来发作，治疗选择范围从药物治疗到各种手术。
病例介绍
一名38岁男性经历了多次阴茎异常勃起发作，对动脉海绵体瘘的血管栓塞以及口服西替利嗪和比卡鲁胺治疗均无效。在患者拒绝海绵体内自我注射后，考虑了各种手术选择。最终，选择了使用夸克尔斯技术进行的近端阴茎分流手术，即海绵体-海绵体分流术，该手术在预防发作方面被证明是有效的，并且未影响患者的勃起功能。
结论
采用夸克尔斯近端技术的阴茎分流手术是治疗复发性阴茎异常勃起的一种安全有效的选择。
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