Alvarez Gonzalez E, Pamplona M, Rodriguez A, Garcia-Hidalgo E, Nunez V, Leiva O
Urology Service, Hospital 12 de Octubre, Madrid, Spain.
J Urol. 1994 Feb;151(2):426-8. doi: 10.1016/s0022-5347(17)34971-6.
We report on 2 patients (ages 21 and 33 years) with high flow priapism secondary to arteriocavernous fistula produced by perineal injury. Both cases were satisfactorily resolved by super-selective embolization of the fistula with bucrylate. Diagnosis was based on the results of gasometry in cavernous blood, color Doppler ultrasound and arteriography. Erectile function after 24 and 30 months of treatment, respectively, was normal in both patients. Review of the literature revealed that only 13 patients have been managed with arterial embolization. To our knowledge our report represents the first in which intracavernous bucrylate embolization produced detumescence with preservation of erectile function.
我们报告了2例（年龄分别为21岁和33岁）因会阴部损伤导致动静脉瘘引起的高流量阴茎异常勃起患者。两例均通过用丁苯羟酸对瘘管进行超选择性栓塞而得到满意解决。诊断基于海绵体血气分析、彩色多普勒超声和动脉造影的结果。治疗24个月和30个月后，两名患者的勃起功能均正常。文献回顾显示，仅有13例患者接受了动脉栓塞治疗。据我们所知，我们的报告是首例使用海绵体内丁苯羟酸栓塞实现消肿并保留勃起功能的病例。
