BMJ Best Practice
最后审核时间: 十月 2018
最近更新时间: 一月 2018

小结

定义

病史和查体

关键诊断因素

  • 全身系统性疾病的现病史
  • 血管活性药或其他药物的用药史
  • 勃起持续时间大于4小时
  • 阴茎疼痛僵硬

危险因素

  • 血红蛋白病
  • 血管活性药
  • 会阴区或阴茎外伤
  • 恶性肿瘤或局部感染

诊断性检查

首要检查

  • 阴茎海绵体血样
  • 全血细胞计数(FBC)和分类计数
  • 血红蛋白溶解度试验
  • 尿中药物/毒物检查
全部具体信息

需要考虑的检查

  • 多普勒彩色超声
  • 超声
  • 阴茎动脉造影
  • 血红蛋白电泳
全部具体信息

治疗流程

贡献者

Helen R. Levey DO, MPH

Urology Resident

Department of Urology

University of Rochester Medical Center

Rochester

NY

利益冲突披露
HRL declares that she has no competing interests.
Trinity Bivalacqua MD, PhD

Assistant Professor of Urology and Oncology

The James Buchanan Brady Urological Institute

Johns Hopkins Medical Institutions

Baltimore

MD

利益冲突披露
TB is an author of several references cited in this monograph.

Professor of Urology

Director of the Sexual and Reproductive Medicine Fellowship

Memorial Sloan-Kettering Cancer Center

New York

NY

利益冲突披露
JM declares that he has no competing interests.

Dr Helen Levey, Dr Trinity Bivalacqua, and Dr John Mulhall would like to gratefully acknowledge Dr Onder Canguven and Dr Arthur L. Burnett, the previous contributors to this monograph. ALB has been reimbursed by Pfizer Inc. and Lilly LLC for attending symposia, speaking, organizing education, and consulting, and has received research grants that support laboratory staff. OC declares that he has no competing interests.

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Professor of Urology

Department of Urology

Tulane University Health Sciences Center

New Orleans

LA

利益冲突披露
WH declares that he has no competing interests.

Assistant Professor

Division of Pediatric Urology

University of Utah

Primary Children's Medical Center

Salt Lake City

UT

利益冲突披露
SO declares that she has no competing interests.

Associate Professor

Section Head of Minimally Invasive Surgery

The University of Texas Medical Branch

Galveston

TX

利益冲突披露
GR declares that he has no competing interests.

Director

Center for Male Fertility

Glickman Urological and Kidney Institute

Cleveland

OH

利益冲突披露
ES declares that he has no competing interests.

Professor of Urology

Division of Andrology

Department of Urology

Faculty of Medicine

Istanbul University

Istanbul

Turkey

利益冲突披露
AK declares that he has no competing interests.

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