Ochoa Urdangarain O, Hermida Pérez J A
Arch Esp Urol. 1998 Apr;51(3):269-76.
We report our experience in the diagnosis, medical management and surgical treatment of priapism.
METHODS/RESULTS: The clinical records of 67 patients that had been treated for priapism at our hospital from 1978-1994 were analyzed for age, race, occupation, marital status, symptoms, treatment, complications and time to remission of symptoms following treatment. Sixty-four patients were treated surgically and 3 patients were successfully treated medically. We performed 52 cavernospongiosal shunts, 14 sapheno-cavernous shunts and in 10 patients corpora cavernosa puncture was performed. The complications were sepsis, thrombosis, hematoma, phlebitis and urethral fistula. The complication rate was low for the cavernospongiosal shunt and corpora cavernosa puncture with phenylephrine.
The highest incidence was observed in patients aged 15-40 years, with a prevalence in the black race. The principal presenting feature was a painful erection without sexual contact. Idiopathic priapism was the most prevalent, although the sickle cell anemia was an important etiological factor. The surgical technique most commonly used was the cavernospongiosal shunt. Intracavernosal injection of phenylephrine was the treatment of choice for pharmacological priapism. Seven patients had erectile dysfunction.
我们报告在阴茎异常勃起的诊断、药物治疗及手术治疗方面的经验。
方法/结果：分析了我院1978年至1994年期间接受阴茎异常勃起治疗的67例患者的临床记录，内容包括年龄、种族、职业、婚姻状况、症状、治疗、并发症以及治疗后症状缓解时间。64例患者接受了手术治疗，3例患者药物治疗成功。我们进行了52例海绵体分流术、14例大隐静脉-海绵体分流术，对10例患者进行了海绵体穿刺。并发症包括败血症、血栓形成、血肿、静脉炎和尿道瘘。海绵体分流术和用去氧肾上腺素进行海绵体穿刺的并发症发生率较低。
15至40岁患者发病率最高，黑人种族患病率较高。主要表现特征为无性交时的疼痛性勃起。特发性阴茎异常勃起最为常见，尽管镰状细胞贫血是一个重要的病因。最常用的手术技术是海绵体分流术。海绵体内注射去氧肾上腺素是药物性阴茎异常勃起的首选治疗方法。7例患者出现勃起功能障碍。
