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高流量阴茎异常勃起患者血管栓塞治疗的系统评价

Outcome angioembolization in patient with high-flow priapism: A systematic review.

作者信息

Nurfajri Derri Hafa, Dahril Dahril

机构信息

Department of Urology, Hasan Sadikin Academic Medical Center/Faculty of Medicine, Padjadjaran University, Bandung, Indonesia.

Department of Surgery, Division of Urology, Faculty of Medicine, Syiah Kuala University, Zainoel Abidin General Hospital, Banda Aceh, Indonesia.

出版信息

Urol Ann. 2025 Apr-Jun;17(2):69-73. doi: 10.4103/ua.ua_94_23. Epub 2025 Apr 17.

Abstract

High-flow priapism (HFP) is a rare disorder that causes prolonged, painless erections. Because it has the potential to permanently damage erectile function, HFP should be promptly treated to regain potency. The suggested therapies for nonischemic priapism include surgical ligation of the arteriocavernous fistulae or selective arterial embolization. However, extensive studies regarding angioembolization in priapismus patients are still lacking, while most of them were case reports, this article aimed to compile and reviewed the available studies regarding therapeutic angioembolization as the management modality of priapism. This systematic review was carried out using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklists. We included 16 studies involving 52 patients in this review. Our review found that angioembolization had favorable rates of clinical symptom alleviation and favorable rates of erectile function improvement.

摘要

高流量性阴茎异常勃起(HFP)是一种罕见的疾病,可导致长时间无痛性勃起。由于它有可能永久性损害勃起功能,因此应及时治疗HFP以恢复性功能。非缺血性阴茎异常勃起的建议治疗方法包括动脉海绵体瘘的手术结扎或选择性动脉栓塞。然而,关于阴茎异常勃起患者血管栓塞的广泛研究仍然缺乏,而且大多数都是病例报告,本文旨在汇编和综述有关治疗性血管栓塞作为阴茎异常勃起治疗方式的现有研究。本系统评价使用系统评价和Meta分析的首选报告项目清单进行。我们纳入了16项研究,涉及52例患者。我们的评价发现,血管栓塞在临床症状缓解率和勃起功能改善率方面效果良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abde/12063919/73f50db6db1e/UA-17-69-g001.jpg

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