阴茎肿瘤引起的阴茎异常勃起2例报告并文献复习

Diagnosis and Treatment of Priapism Due to Neoplasma of Penis

目的：提高临床医生急诊处理阴茎异常勃起疾病的能力。方法：2例阴茎肿瘤引起的阴茎异常勃起患者经阴茎海绵体根部注射间羟胺2～8mg治疗无效，在龟头、阴茎海绵体根部各置9号针头，以肝素化生理盐水对冲的保守治疗亦无效后，行手术治疗。结果：2例患者均手术行阴茎全切术，术后病理证实1例为阴茎原发肉瘤，1例为膀胱癌转移所致移行细胞癌。结论：阴茎肿瘤致阴茎异常勃起疾病临床少见。在急诊收治异常勃起患者时不应遗漏该诱因。

Objective： To improve the clinician＇s ability for emergency treatment of priapism. Methods ： Both cases received 2 mg to 8 mg of metaraminol injectionat the root of cavernous body, and perfusion of haparinized saline at glans and root of cavernous body of the penis by contrecoup, but they had not good response to the above therapy. At last surgery was performed. Results ： Total penectomy was performed for both cases. One case was diagnosed of penile sarcoma, and another was metastatic transitional cell carcinma. Conclusion ： Priapiam due to neoplasma is infrequent, it should not be misdiagnosed in case of emergency.