HIGH-FLOW PRIAPISM - A SPECTRUM OF DISEASE

被引：69

作者：

BROCK, G ^{[1
]}

BREZA, J ^{[1
]}

LUE, TF ^{[1
]}

TANAGHO, EA ^{[1
]}

机构：

[1] UNIV CALIF SAN FRANCISCO,SCH MED,DEPT UROL,SAN FRANCISCO,CA 94143

来源：

JOURNAL OF UROLOGY | 1993年 / 150卷 / 03期

关键词：

PRIAPISM; ULTRASONOGRAPHY; PENIS; EMBOLIZATION; THERAPEUTIC;

D O I：

10.1016/S0022-5347(17)35664-1

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

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.

引用

页码：968 / 971

页数：4

共 13 条

[1] POST-TRAUMATIC PRIAPISM - SUCCESSFUL TREATMENT WITH AUTOLOGOUS CLOT EMBOLIZATION [J].

CRUMMY, AB ;

ISHIZUKA, J ;

MADSEN, PO .

AMERICAN JOURNAL OF ROENTGENOLOGY, 1979, 133 (02) :329-330

[2] TRAUMATIC PRIAPISM IN A CHILD - EVALUATION WITH COLOR FLOW DOPPLER SONOGRAPHY [J].

GUDINCHET, F ;

FOURNIER, D ;

JICHLINSKI, P ;

MEYRAT, B .

JOURNAL OF UROLOGY, 1992, 148 (02) :380-381

[3] TC-99M PENILE SCAN - AN INVESTIGATIVE MODALITY IN PRIAPISM [J].

HASHMAT, AI ;

RAJU, S ;

SINGH, I ;

MACCHIA, RJ .

UROLOGIC RADIOLOGY, 1989, 11 (01) :58-60

[4] POSTTRAUMATIC PRIAPISM TREATED WITH METARAMINOL BITARTRATE - CASE-REPORT [J].

KOGA, S ;

SHIRAISHI, K ;

SAITO, Y .

JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1990, 30 (12) :1591-1593

[5] RECURRENT PROLONGED ERECTIONS AND PRIAPISM AS A SEQUELA OF PRIAPISM - PATHOPHYSIOLOGY AND MANAGEMENT [J].

LEVINE, FJ ;

DETEJADA, IS ;

PAYTON, TR ;

GOLDSTEIN, I .

JOURNAL OF UROLOGY, 1991, 145 (04) :764-767

[6] PRIAPISM - A REFINED APPROACH TO DIAGNOSIS AND TREATMENT [J].

LUE, TF ;

HELLSTROM, WJG ;

MCANINCH, JW ;

TANAGHO, EA .

JOURNAL OF UROLOGY, 1986, 136 (01) :104-108

[7] THE ULTRASTRUCTURE OF THE ERECTILE TISSUE IN PRIAPISM [J].

SPYCHER, MA ;

HAURI, D .

JOURNAL OF UROLOGY, 1986, 135 (01) :142-147

[8] USE OF METHYLENE-BLUE AND SELECTIVE EMBOLIZATION OF THE PUDENDAL ARTERY FOR HIGH FLOW PRIAPISM REFRACTORY TO MEDICAL AND SURGICAL TREATMENTS [J].

STEERS, WD ;

SELBY, JB .

JOURNAL OF UROLOGY, 1991, 146 (05) :1361-1363

[9] POSTTRAUMATIC ARTERIAL PRIAPISM IN A 7-YEAR-OLD BOY - SUCCESSFUL MANAGEMENT BY PERCUTANEOUS TRANSCATHETER EMBOLIZATION [J].

VISVANATHAN, K ;

BURROWS, PE ;

SCHILLINGER, JF ;

KHOURY, AE .

JOURNAL OF UROLOGY, 1992, 148 (02) :382-383

[10] HIGH-FLOW PRIAPISM - TREATMENT WITH SUPERSELECTIVE TRANSCATHETER EMBOLIZATION [J].

WALKER, TG ;

GRANT, PW ;

GOLDSTEIN, I ;

KRANE, RJ ;

GREENFIELD, AJ .

RADIOLOGY, 1990, 174 (03) :1053-1054

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