Baron M, Leiter E
J Urol. 1978 May;119(5):610-1. doi: 10.1016/s0022-5347(17)57565-5.
After assessing the data currently available on the multiple modalities used to manage priapism secondary to sickle cell disease we adopted a specific therapeutic regimen for the treatment of this problem. Early non-surgical measures, including hydration, alkalization and analgesics, rapid red cell infusion to double the hematocrit and late shunting procedures in conjunction with exchange transfusion, offer the soundest approach on pathophysiological grounds. There is currently no evidence to support early surgical intervention as the best approach to conserve potency in this problem.
在评估了目前可获得的关于用于治疗镰状细胞病继发阴茎异常勃起的多种治疗方式的数据后，我们采用了一种特定的治疗方案来处理这个问题。早期非手术措施，包括补液、碱化和止痛，快速输注红细胞使血细胞比容加倍，以及晚期分流手术联合换血疗法，从病理生理学角度提供了最合理的治疗方法。目前没有证据支持早期手术干预是解决这个问题以保留性功能的最佳方法。
