5例经尿道前列腺电切术并发阴茎勃起的处理

Transurethral Resection of Prostate Concurrent Penile Erectile of 5 Cases

目的:了解经尿道前列腺电切术出现阴茎勃起的原因及处理方法,为今后前列腺电切术出现阴茎勃起的处理提供科学的依据。方法:对2002年以来良性前列腺增生5例患者,椎管内麻醉下经尿道前列腺电切术,未进境或进镜时发现阴茎勃起的病例进行回顾性调查。结果:通过去甲肾上腺素0.4μg/ml,每侧阴茎海绵体各注射1 ml,坚挺的阴茎瞬间疲软,手术正常进行,血压无波动,术后无局部血肿、无皮肤坏死、无疼痛,性功能较术前无改变。结论:阴茎勃起的原因可分为心理性、反射性和夜间性三种,阴茎勃起可分为非缺血性阴茎异常勃起和缺血性阴茎异常勃起。去甲肾上腺素在处理术中阴茎勃起是安全的,可作为首选药物,值得临床推广应用。

Objective： To understand our hospital through the urethra prostate electricity cut method appear penile erectile the cause and the treatment method for the prostate electricity cut for the future appear penile erectile process to provide scientific basis.Method： Since 2002, 5 patients of benign prostatic hyperplasia, spinal canal anesthesia via the urethra prostate electricity cut method, entering or not into the mirror and found eases of penile erectile retrospective survey.Result： Through Norepinephrine 0.4 μg/ml, each side corpus cavernosum injection of 1 ml, the strong penis weak moments, normal operation, the blood pressure fluctuations, local hematoma, postoperative skin necrosis, no pain, sexual function compared with preoperative without change.Conclusion： Penile erection is divided into the cause of psychological, reflection and night, it is divided into ischemic and non ischemie priapism. Norepinephrine, in the treatment of penile erectile is safe, can be used as the preferred drug, is worthy of clinical oooularization and anolieation.