Licht M R, Lewis R W, Sershon P D
Department of Urology, Mayo Clinic, Rochester, Minnesota 55905, USA.
Urology. 1995 Oct;46(4):577-80. doi: 10.1016/s0090-4295(99)80279-9.
Erectile dysfunction can result from blunt or penetrating pelvic or perineal trauma. Rupture of the corpora cavernosa leading to loss of the veno-occlusive mechanism and penile artery occlusion have been found in these patients. We present a case of immediate loss of erectile function after penetrating perineal trauma resulting in corpus cavernosum rupture and traumatic occlusion of multiple arteries in the hypogastric-cavernous bed. Conservative management of the corpus injury resulted in post-traumatic aneurysmal dilation at the site of injury with venous leakage from aberrant veins. Penile arterial revascularization and aneurysm repair with deep penile venous ligation resulted in near-complete return of normal erectile function.
勃起功能障碍可由钝性或穿透性骨盆或会阴创伤引起。在这些患者中发现阴茎海绵体破裂导致静脉闭塞机制丧失和阴茎动脉闭塞。我们报告一例穿透性会阴创伤后立即出现勃起功能丧失的病例，该创伤导致阴茎海绵体破裂以及下腹-海绵体床多条动脉的创伤性闭塞。对阴茎海绵体损伤的保守治疗导致损伤部位出现创伤后动脉瘤样扩张，并伴有异常静脉的静脉漏。阴茎动脉血运重建和动脉瘤修复并结扎阴茎深静脉，使勃起功能几乎完全恢复正常。
