With the increasingly widespread progress of medical engineering in the past ten years, people have discovered that the incidence of vascularity is much more than we used to imagine, and it is one of the common causes of secondary impotence after the age of 40.When the aorta, the iliac artery, the vulva, and the branch of the penis are obstructed, and the normal blood is irrigated, impotence will occur clinically.Clinical symptoms such as abdominal pain.The incidence of impotence among these vascular disease patients can reach 70-80 %.And impotence can be the first symptom of vascular occlusion.After the bypass surgery is performed, the impotence will be corrected accordingly.In the literature, people often see such typical terms, "pelvic blood stealing", so what is "pelvic blood stealing" syndrome?Let us explain through a case:
A 39 -year -old engineer came to the doctor for 6 months of erection. For half a year, he could not sex with his male position for six months.In the love of sexual intercourse, he can achieve a sufficient hardness erection, and after inserting into the vagina, he twitches the penis a few times and weakens quickly.When sexual intercourse, he often experiences pain in hip muscles, and pain often causes sexual intercourse.He also noticed that when he took the side and avoided active activities, he could maintain a long erection of the penis in the vagina.It is understood that his morning erection ability has always remained normal.Their marriage relationship is harmonious. Although the work of both sides is intense and busy, their relationship is based on a level of high knowledge and emotion, and they are very concerned about them.There are no psychological disorders and personality disorders.His wife understood his condition very much and made all efforts to maintain his functional conditions as much as possible.For more than half a year, he will have severe weakness and weakness when walking or after walking, and sometimes clamor.During the physical examination, the whole body is good, the genitals and its reflection are normal, and the vein can be touched by the groin area, and there is no vascular noise.Blood routine, liver merit, blood sugar, and hemophylin average.The penile arterial blood pressure index is only 0.6, and the normal value is 0.8. Bilateral iliac artery angiography was performed according to this indicator. The results show that the lower end of the abdominal aorta is about 4 cm long.Its blood flow infusion comes from the waist and pelvic 5D blood vessels.Finally diagnosed as an external iliac arterial hematopoietic syndrome caused by aortic embolism.After implantation of arterial arteries, the symptoms of the legs were relieved, and the patient re -obtain the ability to maintain erection during sexual intercourse. The penile arterial blood pressure index has reached 0.88 during the clinic.
In addition to serving the blood to the penis, the most important thing is to supply blood to the thighs and hip areas.In the 1970s, people were interested in confirming that when large arteriosclerosis or embolism, the "pelvic blood stolen" syndrome of the JV of the above cases will occur.Usually, there are sufficient side support cycles in the pelvis to compensate the obstruction of arteriosclerosis. Therefore, the patients complain that there is no problem in the morning erection, there is no problem with erection during sexual activity, and even insertion is no problem.And once active pelvic twitching, the patient's body will reduce or interrupt the blood supply to the penis due to the sharp growth of muscle exercise, which will cause the penis erection rapidly.This denys a traditional statement in the past, that is, whether there is a morning erection is the main symbol of different psychological or organic impotence.When this dilemma also occurs when the patient walks a long road, they will cause clamor and walking pain due to ischemia in their legs.The pelvic blood stolen syndrome, also known as the pelvic interceptor syndrome, may also be the "gratitude" called by the people.The core issues of these patients are not erected but the maintenance of erection.This blood stolen phenomenon cannot be performed at rest, so the simple test of the dehuminum syndrome is to allow the patient to exercise for a few minutes of hip and legs, and determine the arterial blood pressure of the penis and upper arm before and after exercise.Some patients' penile artery index is reduced by at least 10 % after exercise, while the index remains unchanged before and after normal exercise.If the vascular embolism cannot be corrected in some reason, the men have to be allowed to take a passive position (such as female upper position, side position, etc.) in sexual intercourse, which may partially solve this problem.
(Editor in charge: Fan Mo Yun)
