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Title: 外傷性持続勃起症の1例
Other Titles: A case of traumatic priapism
Authors: 後藤, 高広  KAKEN_name
野口, 顕広  KAKEN_name
濱本, 幸浩  KAKEN_name
谷口, 光宏  KAKEN_name
竹内, 敏視  KAKEN_name
酒井, 俊助  KAKEN_name
山田, 徹  KAKEN_name
藤広, 茂  KAKEN_name
石山, 俊次  KAKEN_name
Author's alias: GOTO, Takahiro
NOGUCHI, Akihiro
HAMAMOTO, Yukihiro
TANIGUCHTI, Mitsuhiro
TAKEUCHI, Toshimi
SAKAI, Shunsuke
YAMADA, Tooru
FUJIHIRO, Shigeru
ISHIYAMA, Shunji
Keywords: High flow priapism
Perineal trauma
Embolization of pudendal artery
Issue Date: Dec-2000
Publisher: 泌尿器科紀要刊行会
Journal title: 泌尿器科紀要
Volume: 46
Issue: 12
Start page: 907
End page: 910
Abstract: 43歳男.就労中に転倒して会陰部を打撲4日後より性的興奮を伴わない陰茎の持続勃起と疼痛が出現したため紹介入院となった.入院時,陰茎は疼痛を伴う持続勃起状態であり,亀頭海綿体は比較的弾性軟で,右陰茎根部に自発痛・圧痛を伴う皮下硬結を触知した.会陰部超音波カラードプラ検査では, 右陰茎根部に直径7~8mmの動脈瘤様血液の乱流がみられ,右内陰部動脈造影では陰茎深動脈末梢で動脈瘤様の造影剤溢流と陰茎海綿体全体への流入が認められた.そこで陰茎深動脈までマイクロカテーテルを挿入し,スポンゼル細片を用いて超選択的な塞栓術を試みたところ,初期異常流入は消失するものの,陰茎海綿体への異常流入は軽減する程度であった.1週間後,再度動脈塞栓術を施行した結果,動脈瘤は消失して陰茎の弛緩が得られた.術後6ヵ月の現在,再発は認めず,正常勃起がみられる
We report a case of high flow priapism secondary to arteriovenous fistula produced by perineal trauma in a 43-year-old patient. Diagnosis was based on the result of gasometry in cavernous blood and color doppler sonography. Superselective embolization of the deep artery of the penis was performed with good results. After 6 months of treatment, erection and sexual function were normal. Our case demonstrates that this procedure is a safe and effective therapy for high flow priapism.
URI: http://hdl.handle.net/2433/114422
PubMed ID: 11211810
Appears in Collections:Vol.46 No.12

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