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学科主题: 临床医学
题名:
High-flow priapism: Superselective cavernous artery embolization with microcoils
作者: Liu, Bao-xing; Xin, Zhong-cheng1; Zou, Ying-hua; Tian, Long; Wu, Yi-guang; Wu, Xiao-jun; Song, Wei-dong; Zhang, Zhi-chao; Gao, Bing
刊名: UROLOGY
发表日期: 2008-09-01
DOI: 10.1016/j.urology.2008.01.087
卷: 72, 期:3, 页:571-573
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Urology & Nephrology
研究领域[WOS]: Urology & Nephrology
英文摘要:

OBJECTIVES To determine the effectiveness of superselective cavernous artery embolization.

METHODS Eight patients with high-flow priapism were included in this study. All were treated by superselective cavernous artery embolization with microcoils and gelatin sponges. The follow-up examinations consisted of color duplex ultrasonography. The International Index of Erectile Function 5-item questionnaire was used to investigate the patients′ erectile function before the onset of priapism, at embolization, and 6 months after embolization.

RESULTS A unilateral cavernous fistula was found in 7 patients and bilateral fistulas in 1. Of the 8 patients, 2 (1 with unilateral and I with bilateral fistulas) initially underwent embolization with a gelatin sponge but presented with recurrence Of tumescence I week after treatment and required a repeat embolization procedure with microcoils. The other 6 patients (75%) were successfully detumescent after embolization with microcoils. The 6 patients (75%) who underwent embolization with microcoils alone had normal erectile function with a mean International Index of Erectile Function score of 22.20 at 6 months after embolization. The 2 patients (25%) who had required repeat embolization had erectile dysfunction, with a mean International Index of Erectile Function score of 13.00.

CONCLUSIONS Superselective cavernous artery embolization with microcoils is a safe and effective treatment of high-flow priapism. The use of microcoils resulted in greater embolization success and preservation of erectile function, especially in the treatment of a unilateral arterial fistula in a Young patient.

语种: 英语
WOS记录号: WOS:000259853800034
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/58067
Appears in Collections:北京大学第一临床医学院_男科中心_期刊论文

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作者单位: 1.Peking Univ, Hosp 1, Androl Ctr, Beijing 100009, Peoples R China
2.Peking Univ, Hosp 1, Dept Intervent Radiol & Vasc Surg, Beijing 100009, Peoples R China
3.Peking Univ, Inst Urol, Beijing 100009, Peoples R China

Recommended Citation:
Liu, Bao-xing,Xin, Zhong-cheng,Zou, Ying-hua,et al. High-flow priapism: Superselective cavernous artery embolization with microcoils[J]. UROLOGY,2008,72(3):571-573.
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