HIGH-FLOW PRIAPISM ASSOCIATED WITH SICKLE-CELL DISEASE

被引:40
作者
RAMOS, CE
PARK, JS
RITCHEY, ML
BENSON, GS
机构
[1] UNIV TEXAS,SCH MED,DEPT SURG,DIV UROL,HOUSTON,TX 77030
[2] UNIV TEXAS,SCH MED,DEPT SURG,DIV PEDIAT SURG,HOUSTON,TX 77030
[3] UNIV TEXAS,SCH MED,DEPT RADIOL,HOUSTON,TX 77030
关键词
PENILE ERECTION; PRIAPISM; SICKLE CELL TRAIT; HEMOGLOBIN SC DISEASE 7;
D O I
10.1016/S0022-5347(01)67479-2
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Priapism associated with sickle cell disease is classically described as a low flow state. We report 2 cases of high flow priapism associated with sickle cell disease. High flow priapism has previously been reported almost exclusively in patients with traumatic rupture of the cavernous artery. Neither of our patients had historical or radiographic findings consistent with injury to the penile vasculature. One patient was treated unsuccessfully with intracorporeal injection of methylene blue and 1 underwent successfully bilateral pudendal artery embolization. The pathophysiological mechanism(s) responsible for the production of high flow priapism in patients with sickle cell disease is not known.
引用
收藏
页码:1619 / 1621
页数:3
相关论文
共 16 条
[1]  
BARUCHEL S, 1993, AM J PEDIAT HEMATOL, V15, P115
[2]   HIGH-FLOW PRIAPISM - A SPECTRUM OF DISEASE [J].
BROCK, G ;
BREZA, J ;
LUE, TF ;
TANAGHO, EA .
JOURNAL OF UROLOGY, 1993, 150 (03) :968-971
[3]  
BRODERICK GA, 1988, AUA UPDATE SERIES, V7
[4]   A NEW CONCEPT IN THE MANAGEMENT OF PRIAPISM [J].
BURT, FB ;
SCHIRMER, HK ;
SCOTT, WW .
JOURNAL OF UROLOGY, 1960, 83 (01) :60-61
[5]   POST-TRAUMATIC PRIAPISM - SUCCESSFUL TREATMENT WITH AUTOLOGOUS CLOT EMBOLIZATION [J].
CRUMMY, AB ;
ISHIZUKA, J ;
MADSEN, PO .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1979, 133 (02) :329-330
[6]   PRIAPISM AND IMPOTENCE IN HOMOZYGOUS SICKLE-CELL DISEASE [J].
EMOND, AM ;
HOLMAN, R ;
HAYES, RJ ;
SERJEANT, GR .
ARCHIVES OF INTERNAL MEDICINE, 1980, 140 (11) :1434-1437
[7]   PRIAPISM ASSOCIATED WITH THE SICKLE-CELL HEMOGLOBINOPATHIES - PREVALENCE, NATURAL-HISTORY AND SEQUELAE [J].
FOWLER, JE ;
KOSHY, M ;
STRUB, M ;
CHINN, SK .
JOURNAL OF UROLOGY, 1991, 145 (01) :65-68
[8]  
HAMRE MR, 1991, J UROLOGY, V145, P1
[9]   ERECTION AND PRIAPISM - A NEW PHYSIOPATHOLOGICAL CONCEPT [J].
HAURI, D ;
SPYCHER, M ;
BRUHLMANN, W .
UROLOGIA INTERNATIONALIS, 1983, 38 (03) :138-145
[10]   DELAYED HIGH FLOW PRIAPISM - PATHOPHYSIOLOGY AND MANAGEMENT - COMMENT [J].
KRANE, RJ .
JOURNAL OF UROLOGY, 1993, 149 (01) :121-121