[Diagnosis and treatment of veno-occlusive priapism (a report of 17 cases)].
OBJECTIVE
To explore the diagnosis and treatment of veno-occlusive priapism.


METHODS
The diagnosis and treatment of 17 cases of veno-occlusive priapism were analyzed retrospectively.


RESULTS
All the 17 patients were evaluated by physical examination, cavernous blood gas analysis and color Doppler ultrasonography, and treated by conservative therapy, intracavernosal aspiration and injection, surgical operation. After treatment, 11 cases achieved complete detumescence, 5 cases partial detumescence and 1 case of penile cancer failed to respond. During the 2-6 months follow-up, erectile dysfunction occurred in 3 cases.


CONCLUSIONS
Cavernous blood gas analysis and color Doppler ultrasonography are helpful to the diagnosis of veno-occlusive priapism. Early and correct intracavernosal injection and corpora cavernosa-corpus spongiosum shunt are effective ways to treat veno-occlusive priapism.
Feng
Feng
F
Department of Urology, General Hospital of PLA, Beijing 100853, China. fengf0412@163.com
Chen
Ai-ping
AP
Zhao
Shou-guo
SG
Sun
Rong
R
Wang
Xiao-xiong
XX
D000328:Adult; D001784:Blood Gas Analysis; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010413:Penis / Q000098:blood supply*; D011317:Priapism / Q000000981:diagnostic imaging* / Q000209:etiology / Q000628:therapy*; D012189:Retrospective Studies; D014463:Ultrasonography