Brock G, Breza J, Lue T F, Tanagho E A
Department of Urology, University of California, San Francisco 94143-0738.
J Urol. 1993 Sep;150(3):968-71. doi: 10.1016/s0022-5347(17)35664-1.
We describe 4 cases of high flow arterial priapism, ranging from 1 week to 3 years in duration. The mode of presentation, evaluation using a duplex scanner, treatment and ultimate resolution are discussed. In 1 patient treated with ice compression the erection subsided spontaneously. One patient underwent percutaneous embolization and achieved detumescence. In 2 men a vascular pseudocapsule formed around the site of the ruptured cavernous artery that provided an important anatomical landmark for intraoperative localization. The ruptured branch of the cavernous artery was ligated in an open procedure. Based on these cases and a review of the literature, we outline a modified diagnostic and therapeutic approach for patients with high flow arterial priapism.
我们描述了4例高流量性动脉性阴茎异常勃起病例，病程从1周到3年不等。本文讨论了其临床表现方式、使用双功扫描仪进行的评估、治疗方法及最终的解决情况。1例患者采用冰敷治疗后勃起自行消退。1例患者接受了经皮栓塞术并实现了消肿。2例男性患者在海绵体动脉破裂部位周围形成了血管假包膜，这为术中定位提供了重要的解剖学标志。在开放手术中结扎了海绵体动脉的破裂分支。基于这些病例及文献回顾，我们为高流量性动脉性阴茎异常勃起患者概述了一种改良的诊断和治疗方法。
