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首页> 外文期刊>Advances in Sexual Medicine >A 35-Year-Old Man Presenting Sleep-Related Painful Erections (Erpes): A Case Report and Review of Literature
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A 35-Year-Old Man Presenting Sleep-Related Painful Erections (Erpes): A Case Report and Review of Literature

机译：一名患有睡眠相关性勃起的35岁老人：一例病例报告并文献复习

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Introduction: Erectile episodes occurring in the night time are considered normal and are usually related to the REM sleep. Spontaneous painful erections are unusual but they can have a great impact in the patient’s quality of sleep and, for consequence, quality of life. Report: We present a patient who has been presenting painful erections which wake him up almost every night. We discuss the workup and treatment offered to the patient, as well as the short-time response and two months follow-up. Discussion: Although studies still do not explain this relationship, nocturnal erections occur only during rapid eye movement (REM) sleep, which can be confirmed by polysomnography accompanied by Nocturnal Penile Tumescence testing or RigiScan test. However, diagnosis can be established based exclusively on clinical aspects. Based on all literature reviewed, the initial treatment should safely consist in improvement in sleep architecture and pelvis muscles relaxation. Conclusion: After the first suspicion, polysomnography with rigidity measurements of nocturnal erections should be considered although clinical diagnosis and therapeutic test may be acceptable. The management we suggest is usually effective, well tolerated and sustained.
机译：简介：夜间发生的勃起发作被认为是正常现象，通常与REM睡眠有关。自发性痛苦的勃起并不常见，但会严重影响患者的睡眠质量，进而影响生活质量。报告：我们介绍一位患者，他的勃起疼痛几乎每天晚上都被唤醒。我们讨论为患者提供的检查和治疗，以及短期反应和两个月的随访。讨论：尽管研究仍不能解释这种关系，但夜间勃起仅在快速眼动（REM）睡眠期间发生，这可以通过多导睡眠图以及夜间阴茎消肿测试或RigiScan测试来证实。但是，可以仅基于临床方面来建立诊断。根据所有已审查的文献，初始治疗应安全地包括改善睡眠结构和骨盆肌肉放松。结论：初次怀疑后，尽管可以接受临床诊断和治疗测试，但应考虑采用多导睡眠图和夜间勃起的僵硬度测量。我们建议的管理通常是有效的，良好的耐受性和持续性。

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