保守治疗成功治疗阴茎假体术后表面性龟头缺血

IF 0.8 4区医学 Q4 ANDROLOGY

Revista Internacional De Andrologia Pub Date : 2021-10-01 DOI:10.1016/j.androl.2020.04.001

Pablo Garrido-Abad , Delfina Antonia Estéve-Sánchez , Manuel Fernández-Arjona

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引用次数: 0

摘要

腺体缺血是充气阴茎假体手术中极为罕见的可怕的术后并发症，可导致阴茎坏疽和器官丧失，其发生率难以确定。我们报告一名56岁男性病患，于一个月前阴茎植入后，因阴茎头冷及疼痛而入院。彩色多普勒检查显示海绵体内动脉正常，龟头浅表组织无血管。由于缺血程度较轻，建议保守治疗，口服己酮茶碱加高压氧治疗10天，随访4个月病情有明显改善。

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Superficial glans ischemia after penile prosthesis successfully treated by conservative treatment

Glandular ischemia is an extremely uncommon dreaded postoperative complication of inflatable penile prosthesis surgery that may lead to penile gangrene and organ loss, whose incidence is difficult to determine. We report the case of a 56-year-old male admitted to our department with complaints of cold and painful glans penis after penile implant one month before. A color Doppler examination revealed the normal intracavernosal arteries with no vascularity in the superficial glans tissues. Due to the mild severity of the ischemia, conservative management was suggested, and consisted of oral pentoxifylline and hyperbaric therapy for 10 days, achieving a significant improvement at 4 months of follow-up.

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来源期刊

Revista Internacional De Andrologia ANDROLOGY-

CiteScore

1.60

自引率

12.50%

发文量

审稿时长

>12 weeks

期刊介绍： Revista Internacional de Andrología es la revista oficial de la Asociación Española de Andrología, Medicina Sexual y Reproductiva (ASESA), la Sociedade Portuguesa de Ardrologia, la Sociedad Argentina de Andrología (SAA), la Asociación Iberoamericana de Sociedades de Andrología (ANDRO), y la Federación Española de Sociedades de Sexología. La revista publicada trimestralmente es revisada por pares y es líder en el la especialidad y en español y portugués. Recientemente también publica artículos en inglés. El objetivo de la revista es principalmente la promoción del conocimiento y la educación médica continua, con un enfoque especial en el público español y latinoamericano, a través de la publicación de las contribuciones importantes de la investigación en el campo. Todos los miembros de las sociedades antes mencionadas reciben la revista y otros suscriptores individuales e institucionales de España, Portugal y América Latina.