Surgical management of ischemic priapism.
Surgical management of ischemic priapism.
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DOI：
10.1111/j.1743-6109.2011.02446.x
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发表时间：
2012
期刊：
影响因子：
--
通讯作者：
A. Burnett
中科院分区：
文献类型：
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作者：
A. Burnett
手术是治疗缺血性阴茎异常勃起的主要手段。最近，随着几种创新手术的引入，这种情况的手术设备得到了扩展。目的总结缺血性阴茎异常勃起的外科治疗方法，并提出合理的治疗方案。方法使用术语阴茎异常勃起、手术、分流和假体进行Medline检索，检索时间截止到2010年7月。主要观察指标专家意见基于对与该主题相关的医学文献的回顾。结果：存在大量的外科手术来解决缺血性阴茎异常勃起的急性表现及其非急性病理后遗症（包括阴茎畸形和勃起功能障碍）的生殖器并发症。对于前者，干预主要用于紧急情况下，旨在减轻病情的急性病理影响并保留勃起功能。对于后者，干预的目的通常是恢复正常的解剖和性交的功能能力。根据临床表现的情况，手术管理的合理框架进行了描述。结论缺血性阴茎异常勃起的外科治疗随着一系列外科手术的应用而发展。这些程序解决了急性和非急性生殖器并发症的条件，并旨在保持或恢复性能力有效和安全。它们可以使用合理的临床管理框架来应用。
INTRODUCTION Surgery is a mainstay in the management of ischemic priapism. The surgical armamentarium for this condition has recently been expanded with the introduction of several innovative procedures. AIM To review surgical procedures offered in the treatment of ischemic priapism and present a rational framework for their use. METHODS Medline searches through July 2010 were conducted using the terms priapism, surgery, shunt, and prosthesis. MAIN OUTCOME MEASURE Expert opinion was based on review of the medical literature related to this subject matter. RESULTS A host of surgical procedures exist to address the genital complications of both acute presentations of ischemic priapism and its non-acute pathologic sequelae, which include penile deformities and erectile dysfunction. For the former, the intervention is used principally in an emergent context with the intention to relieve the acute pathologic effects of the condition and preserve erectile function. For the latter, the intervention is aimed generally toward restoring anatomic normalcy and the functional ability to perform sexual intercourse. A rational framework for surgical management, based on the circumstances of the clinical presentation, is described. CONCLUSIONS The surgical management for ischemic priapism has evolved with the application of a host of surgical procedures. These procedures address acute and non-acute genital complications of the condition and are intended to retain or restore sexual ability effectively and safely. They can be applied using a rational clinical management framework.