Matthews L A, Herbener T E, Seftel A D
Department of Radiology, Case Western Reserve University School of Medicine, Cleveland, OH, USA.
Semin Urol. 1995 Feb;13(1):66-72.
Erectile dysfunction (impotence) is a well-known complication of blunt pelvic and perineal trauma. The mechanism of injury is usually related to the trauma itself, via shearing of the penile blood vessels in the pelvis, or via direct trauma to the blood vessels in the perineum. The diagnostic evaluation of these patients should include evaluation of the nervous supply of the penis, the penile arterial tree and the veno-occlusive mechanism. Penile revascularization is a reasonable treatment option for this group in that many injured patients are young and show arterial injury, with minimal or no veno-occlusive dysfunction. Proper patient selection and precise operative technique should allow for restoration of erectile dysfunction in these patients.
勃起功能障碍（阳痿）是钝性骨盆与会阴创伤的一种常见并发症。损伤机制通常与创伤本身有关，可通过骨盆内阴茎血管的剪切，或通过会阴部血管的直接创伤。对这些患者的诊断评估应包括对阴茎神经供应、阴茎动脉系统和静脉闭塞机制的评估。阴茎血管重建术是这类患者合理的治疗选择，因为许多受伤患者较为年轻，表现为动脉损伤，静脉闭塞功能障碍轻微或无此功能障碍。恰当的患者选择和精确的手术技术应能使这些患者的勃起功能障碍得以恢复。
