Penile Artery Shunt Syndrome

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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.

Ukubethelwa ngemuva, ngomcibisholo obomvu oqinile omaka isiphunzi somthambo we-obturator we-aberrant, nomcibisholo obomvu ongenalutho okhombisa i-anastomosis eqinile yomthambo ophansi-we-epigastric emthanjeni we-penile we-dorsal.

Ukuxilongwa[hlela | Hlela umthombo]

Ukwelashwa[hlela | Hlela umthombo]

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[hlela | Hlela umthombo]

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[hlela | Hlela umthombo]

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[hlela | Hlela umthombo]

  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.