阴茎皮肤桥:年轻男性自发勃起疼痛的罕见原因

A.O. Takure
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摘要

勃起是神经血管对视觉、情感和触觉刺激的反应。它分为精神性、反射性和夜间性。引起疼痛性勃起的原因包括佩罗尼氏病、阴茎骨折、阴茎肿瘤、阴茎苔藓硬化症以及一种罕见的疾病--睡眠相关性疼痛性勃起综合征。在此,作者报告了六例在 2021-2023 年间发生的年轻男性阴茎皮肤桥导致的自发勃起疼痛病例。他们分析了患者的年龄、临床特征、治疗方法以及术后 3 个月的结果。患者的平均年龄为 20.5 岁(范围:13-35 岁),血红蛋白基因型为 AA。两名男性患者的皮肤桥下伴有淡黄色分泌物。他们都切除了皮桥,术后外观令人满意,勃起时也没有疼痛感。阴茎皮桥是导致阴茎勃起疼痛的一个不常见原因,作者建议所有全科医生都要注意这种情况,并在进行全面体检时牢记这一点。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Penile Skin Bridge: Uncommon Cause of Painful Spontaneous Erection in Young Males
Erection is a neurovascular response to visual, emotional, and tactile stimuli. It is classified as psychogenic, reflexogenic, and nocturnal. The causes of painful erections are Peyronie’s disease, penile fracture, penile tumours, penile lichen sclerosis, and a rare disorder called sleep-related painful erection syndrome. Here, the authors report six cases of painful spontaneous erection due to penile skin bridges in young males, seen between 2021–2023. They analysed the age, clinical features, treatment offered, and outcome at 3 months post-surgery. Patients’ mean age was 20.5 years (range: 13–35 years), and the haemoglobin genotype was AA. Two males had associated yellowish discharges under the skin bridges. They all had excision of the skin bridges with satisfactory post-operative appearance, and no pain with erection. Penile skin bridge is an uncommon cause of painful penile erection, and the authors recommend that all general practitioners be aware of this entity, and keep it in mind during a thorough physical examination.
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