Asbach H W, Kösters S, Thomas P, Mühlenberg R, Melekos M
Monatsschr Kinderheilkd. 1981 Oct;129(10):585-8.
Priapism is a very rare problem in childhood. Although sickle cell disease and leukemia may produce persistent erection, juvenile priapism is most commonly idiopathic. The physiology and pathology of erection are reviewed, and the pathomechanisms of diseases which may produce priapism are described. If red cell sickling and leukemia are excluded, immediate surgical intervention by either corporosaphenous or corporospongiosum shunts is recommended for resolution of priapism and preservation of potency. A case of juvenile priapism is presented in which HCG medication as underlying factor is discussed.
阴茎异常勃起在儿童期是一个非常罕见的问题。尽管镰状细胞病和白血病可能导致持续性勃起,但青少年阴茎异常勃起最常见的是特发性的。本文回顾了勃起的生理和病理,并描述了可能导致阴茎异常勃起的疾病的发病机制。如果排除了红细胞镰变和白血病,建议立即通过阴茎海绵体-大隐静脉分流术或阴茎海绵体-尿道海绵体分流术进行手术干预,以解决阴茎异常勃起并保留性功能。本文介绍了一例青少年阴茎异常勃起的病例,并讨论了将人绒毛膜促性腺激素药物作为潜在因素的情况。