Khoriaty N, Schick E
J Urol (Paris). 1980;86(4):283-91.
The authors review the literature with regard to surgery for priapism performed in 138 patients: 92 treated by uni- or bilateral sapheno-cavernous anastomosis and 46 by spongio-cavernous shunt. Sapheno-cavernous anastomosis: in 92 cases operated upon, there were 65 useable records. Conservation of potency in 61.5% of cases (40 out of 65) in particular in young patients aged 40 years or less where the rate of conservation of virility was 73.8%. After the age of 40, this rate fell to 39.1% of cases. It was surprising to note that the results were similar whether the operation was performed during the first 48 hours or later. Results were better after unilateral anastomosis (72.5% of cases with conservation of erection), than after bilateral surgery (54.5% conservation of erection). COMPLICATIONS of this type of surgery consisted of pulmonary embolism and necrosis of the penis. Spongio-cavernous anastomosis: 42 published cases but only 32 useable. Overall, 62.5% of cases with conservation of erection. Results were better before the age of 40 (70% success) than in older patients (50% success). Once again, the functional result obtained was independent of the period for which priapism had been present preoperatively.
urethrocutaneous and urethro-cavernous fistulae. Comparison of the two types of operation failed to reveal any difference before the age of 40 years. By contrast, after 40 spongio-cavernous anastomosis gave slightly superior results (50% as against 39% for sapheno-cavernous anastomosis). On the basis of this general review, the authors drew a more favourable impression of caverno-spongious anastomosis.
作者回顾了138例阴茎异常勃起手术的文献：92例采用单侧或双侧大隐静脉 - 海绵体吻合术治疗，46例采用海绵体 - 海绵体分流术治疗。大隐静脉 - 海绵体吻合术：92例手术病例中，有65份可用记录。61.5%的病例（65例中的40例）性功能得以保留，尤其是40岁及以下的年轻患者，其性功能保留率为73.8%。40岁以后，该比率降至39.1%。值得注意的是，无论手术在最初48小时内还是之后进行，结果相似。单侧吻合术后效果更好（72.5%的病例勃起功能得以保留），优于双侧手术（54.5%勃起功能得以保留）。此类手术的并发症包括肺栓塞和阴茎坏死。海绵体 - 海绵体分流术：42例已发表病例，但仅32份可用。总体而言，62.5%的病例勃起功能得以保留。40岁之前结果更好（成功率70%），高于老年患者（成功率50%）。同样，所获得的功能结果与术前阴茎异常勃起持续的时间无关。
尿道皮肤瘘和尿道海绵体瘘。两种手术方式的比较显示，40岁之前未发现差异。相比之下，40岁之后海绵体 - 海绵体分流术的效果略优（50%，而大隐静脉 - 海绵体吻合术为39%）。基于这一总体回顾，作者对海绵体 - 海绵体吻合术的印象更为良好。
