High-flow priapism: Superselective cavernous artery embolization with microcoils
High-flow priapism: Superselective cavernous artery embolization with microcoils
复制标题
高流量阴茎异常勃起：微弹簧圈超选择性海绵体动脉栓塞术
DOI：
10.1016/j.urology.2008.01.087
复制
发表时间：
2008-09-01
期刊：
影响因子：
2.1
通讯作者：
Gao, Bing
中科院分区：
文献类型：
--
作者：
Liu, Bao-xing;Xin, Zhong-cheng;Gao, Bing
目的探讨超选择性海绵动脉栓塞术的疗效。方法选取8例高流量阴茎勃起障碍患者作为研究对象。所有患者均采用微线圈和明胶海绵超选择性海绵动脉栓塞治疗。随访检查为彩色双超。采用国际勃起功能指数5项问卷调查患者在勃起功能障碍发生前、栓塞时和栓塞后6个月的勃起功能。结果单侧海绵状瘘7例，双侧瘘1例。在8例患者中，2例（1例单侧瘘管，1例双侧瘘管）最初使用明胶海绵栓塞，但在治疗1周后出现肿胀复发，需要再次使用微线圈栓塞。微线圈栓塞后成功消肿6例（75%）。6例（75%）单独使用微线圈栓塞的患者勃起功能正常，栓塞后6个月平均国际勃起功能指数评分为22.20。需要重复栓塞的2例患者（25%）有勃起功能障碍，平均国际勃起功能指数评分为13.00。结论微线圈超选择性海绵动脉栓塞治疗高流量阴茎勃起是一种安全有效的治疗方法。微线圈的使用导致了更大的栓塞成功和勃起功能的保存，特别是在治疗单侧动脉瘘的年轻患者。
OBJECTIVES To determine the effectiveness of superselective cavernous artery embolization.METHODS Eight patients with high-flow priapism were included in this study. All were treated by superselective cavernous artery embolization with microcoils and gelatin sponges. The follow-up examinations consisted of color duplex ultrasonography. The International Index of Erectile Function 5-item questionnaire was used to investigate the patients' erectile function before the onset of priapism, at embolization, and 6 months after embolization.RESULTS A unilateral cavernous fistula was found in 7 patients and bilateral fistulas in 1. Of the 8 patients, 2 (1 with unilateral and I with bilateral fistulas) initially underwent embolization with a gelatin sponge but presented with recurrence Of tumescence I week after treatment and required a repeat embolization procedure with microcoils. The other 6 patients (75%) were successfully detumescent after embolization with microcoils. The 6 patients (75%) who underwent embolization with microcoils alone had normal erectile function with a mean International Index of Erectile Function score of 22.20 at 6 months after embolization. The 2 patients (25%) who had required repeat embolization had erectile dysfunction, with a mean International Index of Erectile Function score of 13.00.CONCLUSIONS Superselective cavernous artery embolization with microcoils is a safe and effective treatment of high-flow priapism. The use of microcoils resulted in greater embolization success and preservation of erectile function, especially in the treatment of a unilateral arterial fistula in a Young patient.