Matter L E, Hailemariam S, Huch R A, Hauri D, Sulser T
Department of Urology, University Hospital, Zurich, Switzerland.
Urol Int. 1998;60(3):175-7. doi: 10.1159/000030245.
Primary erectile dysfunction in combination with congenital malformation of the cavernous bodies has only rarely been reported. We report on 2 young patients with different congenital malformations. To our knowledge this is the first time partial aplasia of the distal part of the cavernous bodies is described, whilst complete isolation of the cavernous bodies in combination with veno-occlusive dysfunction has yet been described in 3 cases. After complete examination, including penile angiography and cavernosometry, a surgical correction with a fully satisfying result was achieved in the patient with distal aplasia. In case of isolated cavernous bodies with severe veno-occlusive dysfunction, the implantation of a penile prosthesis remains the treatment of choice.
原发性勃起功能障碍合并海绵体先天性畸形的情况鲜有报道。我们报告了2例患有不同先天性畸形的年轻患者。据我们所知，这是首次描述海绵体远端部分的部分发育不全，而海绵体完全分离并伴有静脉闭塞功能障碍的情况已有3例被描述。经过包括阴茎血管造影和海绵体测压在内的全面检查，对远端发育不全的患者进行了手术矫正，结果令人满意。对于孤立的海绵体伴有严重静脉闭塞功能障碍的情况，阴茎假体植入仍然是首选的治疗方法。
