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タイトル: | 近位シャント術を要した重症虚血性持続勃起症の1例 |
その他のタイトル: | A Case Report of Severe Ischemic Priapism Treated Aggressively by Proximal Shunt |
著者: | 西村, 伸隆 鳥本, 一匡 小田, 侑希 吉田, 貴法 植松, 稔貴 大森, 千尋 藤本, 清秀 |
著者名の別形: | Nishimura, Nobutaka Torimoto, Kazumasa Oda, Yuki Yoshida, Takanori Uematsu, Toshitaka Omori, Chihiro Fujimoto, Kiyohide |
キーワード: | Ischemic priapism Shunting Erectile dysfunction |
発行日: | 30-Nov-2020 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 66 |
号: | 11 |
開始ページ: | 411 |
終了ページ: | 414 |
抄録: | Priapism is defined as a full or partial erection for >4 hours without sexual stimulation or orgasm. Ischemic priapism is an emergency disease that urgently requires surgery to reduce pressure in the corpora cavernosa. We encountered a case of severe ischemic priapism that required a proximal shunt. The patient was a 71-year-old man who had been diagnosed with benign prostatic hyperplasia ; hence, oral administration of tamsulosin had been initiated at a local hospital. His penis became gradually rigid and presented with prolonged erection. Then he consulted our hospital. Penile aspiration was impossible, and phenylephrine injection was not effective. He was subsequently transferred to our hospital. He did not have severe pain but had complete erection. We could not correctly evaluate blood gas from the corpora cavernosa and color Doppler ultrasonography showed little blood flow in the corpora cavernosa. We judged that the patient had ischemic priapism. The erection could not be controlled by distal shunt plastic surgery performed using the T shunt and Al-Ghorab methods. Therefore, a proximal shunt plastic surgery as described by Sacher was performed. The surgery was effective, but it caused erectile dysfunction. |
著作権等: | 許諾条件により本文は2021/12/01に公開 |
DOI: | 10.14989/ActaUrolJap_66_11_411 |
URI: | http://hdl.handle.net/2433/259387 |
PubMed ID: | 33271660 |
出現コレクション: | Vol.66 No.11 |
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