阴茎异常勃起

最后审阅: 29 八月 2022
最后更新: 06 四月 2022

小结

定义

病史和体格检查

关键诊断因素

  • 系统性疾病的现病史
  • 血管活性药或其他药物的用药史
  • 勃起持续时间大于4小时
  • 阴茎疼痛僵硬
  • 阴茎不完全僵硬且无疼痛感
  • 会阴部或泌尿生殖系统外伤史
更多 关键诊断因素

危险因素

  • 血红蛋白病
  • 血管活性药
  • 会阴区或阴茎外伤
  • 恶性肿瘤或局部感染
  • 脊髓疾病
更多 危险因素

诊断性检查

首要检查

  • 阴茎海绵体血样
  • 全血细胞计数 (FBC) 和分类计数
  • 血红蛋白溶解度试验
  • 尿中药物/毒物检查
  • 凝血指标
更多 首要检查

需考虑的检查

  • 彩色双功超声检查
  • 磁共振成像 (MRI)
  • 阴茎动脉造影
  • 血红蛋白电泳
更多 需考虑的检查

治疗流程

急症处理

缺血性或复发性(间歇性)阴茎异常勃起

非缺血性阴茎异常勃起

持续性治疗

复发性(间歇性)阴茎异常勃起

撰稿人

作者

Martin S. Gross, MD

Assistant Professor of Surgery (Urology)

Section of Urology

Dartmouth-Hitchcock Medical Center

Lebanon

NH

利益声明

MSG is a consultant for Coloplast. MSG is an author of a reference cited in this topic.

鸣谢

Dr Martin S. Gross would like to gratefully acknowledge Dr Helen R. Levey Bernie, Dr John Mulhall, Dr Trinity Bivalacqua, Dr Onder Canguven, and Dr Arthur L. Burnett, previous contributors to this topic.

利益声明

HRLB and JB declare that they have no competing interests. TB is an author of a number of references cited in this topic. ALB has been reimbursed by Pfizer Inc. and Lilly LLC for attending symposia, speaking, organising education, and consulting, and has received research grants that support laboratory staff. OC declares that he has no competing interests.

同行评议者

Wayne Hellstrom, MD

Professor of Urology

Department of Urology

Tulane University Health Sciences Center

New Orleans

LA

利益声明

WH declares that he has no competing interests.

Siam Oottamasathien, MD

Assistant Professor

Division of Pediatric Urology

University of Utah

Primary Children's Medical Center

Salt Lake City

UT

利益声明

SO declares that she has no competing interests.

Gabriel Rodriguez, MD

Associate Professor

Section Head of Minimally Invasive Surgery

The University of Texas Medical Branch

Galveston

TX

利益声明

GR declares that he has no competing interests.

Edmund Sabanegh, Jr, MD

Director

Center for Male Fertility

Glickman Urological and Kidney Institute

Cleveland

OH

利益声明

ES declares that he has no competing interests.

Ates Kadioglu, MD

Professor of Urology

Division of Andrology

Department of Urology

Faculty of Medicine

Istanbul University

Istanbul

Turkey

利益声明

AK declares that he has no competing interests.

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