Malignant refractory priapism: An urologist's nightmare
Malignant refractory priapism: An urologist's nightmare
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DOI：
10.4103/ua.ua_140_18
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发表时间：
2019-04-01
期刊：
影响因子：
0.7
通讯作者：
Tyagaraj, Krishnaprasad
中科院分区：
文献类型：
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作者：
Prabhuswamy, Vinod Kumar;Krishnappa, Pramod;Tyagaraj, Krishnaprasad
恶性异常勃起被描述为由原发性肿瘤侵袭或转移引起的持续性、非性勃起。我们介绍两例不同病因的恶性阴茎异常勃起病例以及各自的治疗策略。一名75岁患者5个月前因高级别膀胱肿瘤接受了根治性膀胱切除术，并出现阴茎异常勃起。即使在干预后，患者仍出现部分阴茎肿胀并伴有轻度疼痛。另一名 66 岁患者因持续性阴茎异常勃起疼痛而前来急诊，被诊断患有多发性骨髓瘤。作为最后的手段，他需要进行尸体切开术和开放式引流术，这最终缓解了他的疼痛，但勃起能力丧失。治疗需要根据患者的临床病程进行个体化。
Malignant priapism is described as persistent, nonsexual erections caused by invasion or metastasis from a primary neoplasm. We present two cases of malignant priapism with different etiologies and the respective management strategies. A 75-year-old patient had undergone radical cystectomy for a high-grade bladder tumor 5 months ago and came with priapism. The patient persisted to have partial penile tumescence with low-grade pain even after intervention. Another 66-year-old patient came to emergency with persistent painful priapism who had been diagnosed to have Multiple Myeloma. He required a corporotomy and open drainage as a last resort which finally relieved him of pain but with loss of erection. The treatment needs to be individualized based on the clinical course of the patient.