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
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
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
需考虑的检查
- 彩色双功超声检查
- 磁共振成像 (MRI)
- 血红蛋白溶解度试验
- 血红蛋白电泳
- 尿中药物/毒物检查
- 凝血指标
治疗流程
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
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 JM 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.
鉴别诊断
- 佩罗尼氏病
- 阴茎假体
更多 鉴别诊断指南
- 镰状细胞病的循证治疗
- 性与生殖健康：阴茎异常勃起
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