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題 名 | Management of Low-Flow Priapism Using the Winter Procedure: A Case Report=溫氏步驟在原因不明之低血流性陰莖持久性勃起之治療--病例報告 |
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作 者 | 陳重欽; 王起杰; 陳啟文; 李永進; 周以和; 黃俊雄; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷 期 | 19:2 2003.02[民92.02] |
頁 次 | 頁88-92 |
分類號 | 415.861 |
關鍵詞 | 溫氏步驟; 低血流性陰莖持久性勃起; Low-flow priapism; Winter procedure; |
語 文 | 英文(English) |
中文摘要 | 陰莖持久性勃起是指在無性刺激下卻發生陰莖勃起過久的現象。低血流性陰莖持久性勃起被報告與鐮刀型血球疾病和其他血紅素病變、惡性腫瘤症候群、抗凝血治療、抗精神病藥物使用和一些不明原因有關。本文中報告一位原因不明之低血流陰莖持久性勃起之成功治療經驗。在本病例中,經由陰莖海綿體血液氣體分析以確立診斷。治療上,最初採用陰莖海綿體血液抽吸、陰莖海綿體以冰水和血管收縮劑沖洗,但無效。之後,採用溫氏步驟(陰莖海綿體及龜頭之間的_管)來治療,而使得患者的持久性勃起消退,且無併發症。經由治療後的一年追蹤期,患者仍保有正常勃起功能。本病例說明,利用溫氏步驟治療保守療法無效的不明原因之低血流性陰莖持久性勃起是有效的。 |
英文摘要 | Priapism is a prolonged penile erection that is unrelated to sexual stimulation. Low-flow priapism has been associated with sickle cell disease and other hemoglobinopathies, neoplastic syndrome, anticoagulant therapy, psychotropic medication, and idiopathic causes. We report the successful treatment of idiopathic low-flow priapism using the Winter procedure. Initial treatment consisted of aspiration and intracavernous irrigation with iced saline and a vasoconstrictive agent, but in vain. We then performed the Winter procedure, in which fistulas between the corpora cavernosa and the glans penis were created. This resulted in the simultaneous detumescence of the penis, without complication. The erectile function of the penis was normal 1 year after the procedure. This case shows that idiopathic low-flow priapism can be successfully treated using the Winter procedure when conservative treatment fails. |
本系統中英文摘要資訊取自各篇刊載內容。