Evolving Concepts in the Diagnosis and Treatment of Arterial High Flow Priapism

作者: Lawrence S. Hakim , Haluk Kulaksizoglu , Russell Mulligan , Alan Greenfield , Irwin Goldstein

DOI: 10.1016/S0022-5347(01)66444-9

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摘要: AbstractPurpose: We investigated 2 evolving concepts in the management of arterial priapism: 1) efficacy perineal duplex Doppler ultrasound as a diagnostic alternative to arteriography and 2) therapeutic expectant management.Materials Methods: evaluated 10 patients with high flow priapism.Results: Compared selective internal pudendal arteriography, ultrasonography was associated 100 percent sensitivity 73 specificity rates. physical examination, followup had 75 percent. Followup penile demonstrated restoration antegrade cavernous artery after embolization. Patients on remained potent long 31 years.Conclusions: Diagnostic are valuable tools for treatment priapism. A new algorithm patient care is pr...

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