Kuwahara M, Nishimura K, Takagi N, Nishitani M, Ohta K, Fujisaki N, Uchino A, Matsuo Y
Department of Urology, Fujisaki Hospital.
Hinyokika Kiyo. 1995 Aug;41(8):625-8.
A 26-year-old man with high flow priapism after blunt perineal trauma, is described herein. Patient evaluation included intracavernal blood-gasometry, cavernography, color flow Doppler sonography. The blood-gasometry showed pH 7.413, pO2 77.9 mmHg, pCO2 41.0 mmHg, HCO2- 26.1 mmol/L, BE 2.0 mmol/L. By direct cavernosography, pooling of contrast agent was seen at the root of the penis. Color flow Doppler sonography revealed pulsatile, turbulent flow within left corpus cavernosum. Our case was diagnosed as high flow priapism from these findings. Detumescence was not achieved by an alpha-adrenergic agent. Superselective embolization of the deep artery of the penis with autologous blood clot was performed with good results. Our case demonstrates that this procedure is a safe and effective therapy for high flow priapism and that erectile function can return to normal.
本文描述了一名26岁男性，在会阴部钝性创伤后出现高流量性阴茎异常勃起。患者评估包括海绵体内血气分析、海绵体造影、彩色多普勒超声检查。血气分析显示pH值7.413、氧分压77.9mmHg、二氧化碳分压41.0mmHg、碳酸氢根离子26.1mmol/L、碱剩余2.0mmol/L。通过直接海绵体造影，可见造影剂在阴茎根部聚集。彩色多普勒超声检查显示左侧海绵体内有搏动性、湍流。根据这些发现，我们的病例被诊断为高流量性阴茎异常勃起。α-肾上腺素能药物未能使阴茎消肿。采用自体血凝块对阴茎深动脉进行超选择性栓塞，效果良好。我们的病例表明，该手术是治疗高流量性阴茎异常勃起的一种安全有效的方法，勃起功能可恢复正常。
