Diagnosis and treatment of veno-occlusive priapism (a report of 17 cases).
- Author:
Feng FENG
1
;
Ai-ping CHEN
;
Shou-guo ZHAO
;
Rong SUN
;
Xiao-xiong WANG
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Blood Gas Analysis; Follow-Up Studies; Humans; Male; Middle Aged; Penis; blood supply; Priapism; diagnostic imaging; etiology; therapy; Retrospective Studies; Ultrasonography
- From: National Journal of Andrology 2007;13(6):535-537
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo explore the diagnosis and treatment of veno-occlusive priapism.
METHODSThe diagnosis and treatment of 17 cases of veno-occlusive priapism were analyzed retrospectively.
RESULTSAll the 17 patients were evaluated by physical examination, cavernous blood gas analysis and color Doppler ultrasonography, and treated by conservative therapy, intracavernosal aspiration and injection, surgical operation. After treatment, 11 cases achieved complete detumescence, 5 cases partial detumescence and 1 case of penile cancer failed to respond. During the 2-6 months follow-up, erectile dysfunction occurred in 3 cases.
CONCLUSIONCavernous blood gas analysis and color Doppler ultrasonography are helpful to the diagnosis of veno-occlusive priapism. Early and correct intracavernosal injection and corpora cavernosa-corpus spongiosum shunt are effective ways to treat veno-occlusive priapism.
