Objective: To explore the diagnosis and treatment of veno-occlusive priapism.
Methods: The diagnosis and treatment of 17 cases of veno-occlusive priapism were analyzed retrospectively.
Results: All the 17 patients were evaluated by physical examination, cavernous blood gas analysis and color Doppler ultrasonography, and treated by conservative therapy, intracavernosal aspiration and injection, surgical operation. After treatment, 11 cases achieved complete detumescence, 5 cases partial detumescence and 1 case of penile cancer failed to respond. During the 2-6 months follow-up, erectile dysfunction occurred in 3 cases.
Conclusion: Cavernous blood gas analysis and color Doppler ultrasonography are helpful to the diagnosis of veno-occlusive priapism. Early and correct intracavernosal injection and corpora cavernosa-corpus spongiosum shunt are effective ways to treat veno-occlusive priapism.