陰茎持続勃起症の1例 : 文献的考察

概要

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A case of priapism is reported and discussed. 1) The case is a 27 years old Japanese male, with idiopathic priapism associated with severe pain. Previously, he experienced transient episodes of priapism for two weeks. The duration of one of them was eight days. Kymopsin 50 u per day was intramuscularly injected for 27 days, and no surgical treatment was done during admission. The effect was remarkable. Further, sexual intercourse after discharge was satisfactory with normal erection and sexual desire. 2) In the literature, some cases of medical treatment with α-kymotrypsin or fibrinolysin are reported, and Arfonad showed an excellently successful case in securing normal erection by this treatment. A great part of operative treatments such as aspiration for cavemosum of penis or sapheno-corporeal anastomosis were also good but sometimes accompanied by incomplete erection. The aspiratson method was more effective than the anastomosis.
社団法人日本泌尿器科学会の論文