Walker J R, Casale A J
Department of Pediatrics, University of Kentucky Children's Hospital, Lexington, USA.
Urology. 1997 Nov;50(5):796-9. doi: 10.1016/S0090-4295(97)00317-8.
An extensive review of the literature suggests that priapism or prolonged penile erection is extremely rare in the newborn. We present a term newborn whose clinical course of prolonged penile erection was a result of polycythemia. In the past, only 3 cases appear to have been associated with polycythemia. However, two of these cases had several other complicating factors. The remaining episodes have been described as idiopathic (7), or attributed to infection (1) or central nervous system insult (1). The recognition of this phenomenon and its historical record of clinical course is important in the newborn so inappropriate approaches to treatment may be avoided. Because of spontaneous detumescence in many instances, observation or nonsurgical management is advocated for the newborn with prolonged penile erection.
对文献的广泛回顾表明，新生儿阴茎异常勃起或阴茎长时间勃起极为罕见。我们报告一例足月儿，其阴茎长时间勃起的临床过程是由红细胞增多症引起的。过去，似乎仅有3例与红细胞增多症有关。然而，其中两例还有其他几个复杂因素。其余病例被描述为特发性（7例），或归因于感染（1例）或中枢神经系统损伤（1例）。认识到这一现象及其临床过程的历史记录对新生儿很重要，这样可以避免不恰当的治疗方法。由于在许多情况下阴茎会自然消肿，对于阴茎长时间勃起的新生儿，提倡观察或非手术治疗。
