Penile Artery Shunt Syndrome

IPenile Artery Shunt Syndrome (PASS) yisimo somtholampilo se-iatrogenic esichazwe okokuqala nguTariq Hakky, uChristopher Yang, uJonathan Pavlinec, uKamal Massis, noRafael Carrion ngaphakathi koHlelo Lwezocansi eMnyangweni Wezokwelapha, e-University of South Florida naseRicardo Munarriz, waseBoston University School of Medicine Department of Urology ngo-2013.Kungaba imbangela yokungasebenzi kahle kwe-Erectile kwiziguli ezenze iPenile Revascularization Surgery.

Ukuxilongwa

Ukwelashwa

Ukuhlanganiswa kwe-Coil Percutaneous yomthambo we-obturator we-aberrant kwenziwa.Ukuhamba kwe-arterial kuthuthuke ngokushesha ngomthambo we-dorsal penile artery, futhi ukuqaqanjelwa okusheshayo kwabonwa ngaphezul kwe-glans penis.Inqubo yokuthumela, isiguli sathola ukuthuthuka ngokushesha ekusebenzeni kwe-erectile.

Ukucatshangelwa

IPenile Revascularization iyindlela ekhethekile yokwelashwa ngemithambo-yokuhlinzwa ye-Erectile Dysfunction.Ukubonisana Kwamazwe Ngamazwe Kwezokungasebenzi Ngokobulili Kwango-2009 kunconywe ukuthi ukuvuselelwa kwemithambo yegazi kukhawulelwe kubantu abangabhemi, abesilisa abangaphansi kweminyaka yobudala engama-55 abane-stenosis ehlukanisiwe yomthambo wangaphakathi we-pudendal ngokungabikho kokuvuza okunobuthi. ^[1]Iziguli ezinokukhubazeka okuqhubekayo kwe-erectile ngemuva kwe-revascularization zingazuza ngokuphinda i-penile duplex ultrasound kanye ne-pelvic angiography ukuhlola isimo se-bypass graft nokukhipha ubukhona be-PASS njengesizathu.Ukusabalala komthambo we-obturator we-aberrant ovela emthanjeni ophansi we-epigastric cishe u-10.5%. ^[2]Uma umthambo we-obturator we-aberrant uboniswa ngamehlo avela kumthambo ophansi we-epigastric ngaphambi kokuhlinzwa kwe-penile revascularization, kufanele kucatshangelwe ekusebenziseni omunye umthambo womthombo noma ekuhlanganiseni ukugwema ukwakhiwa kwePenile Artery Shunt Syndrome ehlangane naleli cala elichaziwe.

Umlando

IPenile Artery Shunt Syndrome (PASS) ekuqaleni ichazwe esigulini esathola iPenile Revascularization Surgery ye-cavernosal artery stenosis ehlukanisiwe lapho kungekho khona ubungozi besistimu yemithambo yegazi.I-anastomosis yokuphela kokuphela komthambo we-epigastric ongaphansi kwesobunxele kumthambo we-dorsal penile artery wenziwa kusetshenziswa inqubo echazwe ngaphambili. ^[3]Ngemuva kokuhlinzwa ngempumelelo kwe-revascularization kwezobuchwepheshe, isiguli saqhubeka saba nokungasebenzi kahle kwe-post-operative naphezu kokuqina okubhaliwe kokuxhunyelelwa kokuhlinzwa nguPenile Duplex Ultrasonography.I-pelvic angiography yenziwa esigulini, kwembula umthambo we-obturator we- aberrant ovela emthanjeni ophansi we-epigastric .Ucwaningo luveze ukugeleza okuvilaphayo okuboniswa ngokusebenzisa i-anastomosis kuya emthanjeni we-dorsal penile artery, ngokugeleza okuphezulu emthanjeni we-epigastric ongaphansi kwesobunxele kumthambo we-obturator nasemagatsheni awo.Lokhu kwagcina ngokuncipha kokugeleza kwegazi okuya endondeni.

Izinkomba

↑ Montorsi, Francesco; Adaikan, Ganesan; Becher, Edgardo; Giuliano, Francois; Khoury, Saad; Lue, Tom F. et al (2010). "Summary of the Recommendations on Sexual Dysfunctions in Men". The Journal of Sexual Medicine 7 (11): 3572–3588. doi:10.1111/j.1743-6109.2010.02062.x. ISSN 1743-6095.
↑ Requarth, JA; Miller. "Aberrant obturator artery is a common arterial variant that may be a source of unidentified hemorrhage in pelvic fracture patients". J Trauma 70: 366–372. doi:10.1097/ta.0b013e3182050613.
↑ Munarriz, Ricardo; Uberoi, Fantini; Martinez, Lee (August 2009). "Microvascular arterial bypass surgery: long-term outcomes using validated instruments". Journal of Urology 182 (2): 634–648. doi:10.1016/j.juro.2009.04.031. PMID 19539333.

[MontorsiAdaikan2010-1] Montorsi, Francesco; Adaikan, Ganesan; Becher, Edgardo; Giuliano, Francois; Khoury, Saad; Lue, Tom F. et al (2010). "Summary of the Recommendations on Sexual Dysfunctions in Men". The Journal of Sexual Medicine 7 (11): 3572–3588. doi:10.1111/j.1743-6109.2010.02062.x. ISSN 1743-6095.

[2] Requarth, JA; Miller. "Aberrant obturator artery is a common arterial variant that may be a source of unidentified hemorrhage in pelvic fracture patients". J Trauma 70: 366–372. doi:10.1097/ta.0b013e3182050613.

[3] Munarriz, Ricardo; Uberoi, Fantini; Martinez, Lee (August 2009). "Microvascular arterial bypass surgery: long-term outcomes using validated instruments". Journal of Urology 182 (2): 634–648. doi:10.1016/j.juro.2009.04.031. PMID 19539333.

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