阴茎海绵体分流术治疗阴茎异常勃起：它是一种可靠的方法吗？

Cavernospongiosum shunt in management of priapism: is it a reliable method?

作者信息

Srougi M, Borrelli M, Dénes F T, De Góes G M

出版信息

Int Urol Nephrol. 1978;10(3):229-35. doi: 10.1007/BF02082031.

DOI:10.1007/BF02082031

Abstract

The efficiency of cavernospongiosum shunt in the management of priapism was evaluated in 10 patients. Technical details such as the "Z" perineal incision and the opening followed by closure of the contralateral corpus cavernosum, at the time of corpora evacuation, can improve the local exposure and permits a more complete drainage of the corpus cavernosum, but did not improve our results when they were compared with other techniques for treatment of priapism. Penile flaccidity and preservation of sexual potency occurred in 6 (60%) and 5 (50%) patients, respectively, and no surgical complications were observed. Immediate penile flaccidity and regaining of physiologic erection were, however, not complete even in the successfully treated patients. The cavernospongiosum shunt does not seem to represent the definitive form of treating priapism. New knowledge about mechanisms involved in priapism has to be obtained, in order to improve the approach and the prognosis of this disabling condition.

摘要

对10例患者评估了海绵体分流术治疗阴茎异常勃起的疗效。在清除海绵体内容物时，诸如“Z”形会阴切口以及对侧海绵体开口后关闭等技术细节，可改善局部暴露并使海绵体更完全地引流，但与其他治疗阴茎异常勃起的技术相比，并未改善我们的治疗结果。分别有6例（60%）和5例（50%）患者出现阴茎疲软和性功能保留，且未观察到手术并发症。然而，即使在成功治疗的患者中，阴茎即刻疲软和生理勃起的恢复也并不完全。海绵体分流术似乎并非治疗阴茎异常勃起的最终方法。必须获取有关阴茎异常勃起相关机制的新知识，以改善这种致残性疾病的治疗方法和预后。