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首页> 外文期刊>The journal of sexual medicine >Nonischemic priapism following penile tattooing
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Nonischemic priapism following penile tattooing

机译：阴茎纹身后出现非缺血性阴茎异常勃起

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Introduction. To our knowledge, here we report the first case of nonischemic priapism following penile tattooing. Aim. To report the first case of nonischemic priapism following penile tattooing. Methods. A case with tattooing-induced priapism is presented including subjective reporting, physical examination, and laboratory/radiologic evaluations. Results. A 21-year-old man, presented with partially rigid penis of 3-month duration. On examination, the penis was half rigid, with a tattoo on its dorsal surface, and a smaller tattoo on the glans (Figure1). The patient initially stated that the tattoo had been created years ago, but later admitted that he had it created just before the occurrence of priapism. A traditional tattooist created the tattoo manually, using a handheld needle. Bleeding from deep penile tissue for several days complicated the tattooing. 1 Penile tattooing. The tattoo on dorsal penis reads in Persian "borow be salaamat" ("good luck with your journeys"). Also note the tattooed English letter "M" on the glans ("M" was the first letter of the first name of the patient's girlfriend). Known etiologies of priapism were investigated and ruled out. Specifically, perineal injury, leukemia, sickle cell trait, thalassemia, urinary tract infection, neurogenic, neoplastic, infectious, toxic, and pharmacological causes were actively investigated and ruled out. There was no history of alcohol consumption or smoking. Aspirated penile blood was bright red. Cavernous blood gas measurements confirmed high oxygen and low carbon dioxide content, diagnostic of arterial priapism. There was no embolization facility in Kermanshah. In fact, there are few experts in superselective embolization in Iran. We referred the patient for superselective embolization. However, he underwent a nonindicated Sacher procedure. Predictably, the procedure was unsuccessful. At present, the patient continues to have priapism. Because of the painless nature of erections, moderately good preservation of erectile function during intercourses, and disappointment with former surgery, the patient declined further therapies, and he lives with his condition. Conclusions. Tattooing should be added to the etiologies of nonischemic priapism. Considering this case, we discourage penile tattooing.
机译：介绍。据我们所知，这里我们报告了第一例阴茎纹身后出现非缺血性阴茎异常勃勃的情况。目标。报告阴茎纹身后出现非缺血性阴茎异常勃勃的第一例。方法。介绍了一个纹身引起的阴茎异常勃勃的病例，包括主观报告，体格检查和实验室/放射学评估。结果。一名21岁男子，阴茎部分僵硬，持续3个月。经检查，阴茎是半刚性的，在其背面有纹身，而在龟头上有较小的纹身（图1）。病人最初说纹身是几年前制作的，但后来承认纹身是在阴茎勃勃症发作之前创建的。传统的纹身师使用手持针头手动创建了纹身。阴茎深处出血持续数日使纹身复杂化。 1阴茎纹身。背面阴茎上的纹身是波斯文“ borow be salaamat”（“旅途愉快”）。还要注意龟头上带有纹身的英文字母“ M”（“ M”是患者女友名字的首字母）。对阴茎异常勃勃的已知病因进行了调查和排除。具体而言，积极研究并排除了会阴损伤，白血病，镰状细胞性状，地中海贫血，尿路感染，神经性，肿瘤性，感染性，毒性和药理学原因。没有饮酒或吸烟史。抽吸的阴茎血呈鲜红色。海绵状血气测量结果证实了高氧和低二氧化碳含量，对动脉阴茎异常勃勃的诊断。克曼沙赫（Kermanshah）没有栓塞设施。实际上，伊朗的超选择性栓塞专家很少。我们推荐患者进行超选择性栓塞。但是，他接受了非指示性的Sacher手术。可以预见，该过程没有成功。目前，患者继续患有阴茎异常勃起。由于勃起的无痛性，性交过程中勃起功能的适度良好保存以及对以前的手术感到失望，患者拒绝了进一步的治疗，他的病情得以维持。结论。纹身应加到非缺血性阴茎异常勃起的病因中。考虑到这种情况，我们不鼓励阴茎纹身。

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