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患者,50岁。入院前6天无明显诱因发生阴茎勃起,持续不消,伴有疼痛,多种方法治疗无效而入院。体检:阴茎勃起、坚硬,长约11cm,阴茎头及尿道海绵体不充血。药物治疗无效行急诊手术:骶管麻醉,阴茎、阴囊交界处纵切口,分离出尿道海绵体及一侧阴茎海绵体,捕入导尿管,切开尿道海绵体及阴茎海绵体各2.5cm,注意保护尿道粘膜,阴茎海绵体流出紫黑色淤泥样血液约60ml,给以盐水冲洗,直到流出鲜红色血液后,行尿道、阴茎海绵体侧侧吻合。吻合阴茎曾勃起数次,但很快消退。
Patient, 50 years old. 6 days before admission no obvious incentive penile erection, continued over, accompanied by pain, a variety of treatment ineffective and admitted to hospital. Physical examination: penile erection, hard, about 11cm, penis head and urethral sponge is not congested. Medical treatment ineffective emergency surgery: caudal anesthesia, penile, scrotum at the junction of longitudinal incision, isolated urethral sponge and side of the penis, catching the catheter, incision urethra and cavernous cavernous 2.5cm, Pay attention to protect the urethral mucosa, penis discharge out of purplish black muddy blood about 60ml, to saline flush until the bright red blood flow out after the urethra, cavernous side of the anastomosis. Anchilles penis erection several times, but soon subsided.