Priapism is a rare pathological penile erection, and there are some inadequacies in its definition, classification, diagnosis, and therapeutic strategies. In this article, we sum up our years of experience with priapism and put forward some new views and ideas about its definition, classification, pathophysiologic process, pathological change, diagnostic essentials, therapeutic measures, indications of successful treatment, and post-therapeutic rehabilitation of erectile function. We also describe the clinical features, diagnosis and treatment of some special types of priapism, such as intermittent seizure, sleep-related painful erection, and tumor-related priapism, hoping to help urologists and andrologists in the further understanding and management of priapism.
阴茎异常勃起是一种少见的病理性勃起状态，目前的定义、分类和诊疗方法存在一些不足。本文总结我们多年的相关诊疗经验，分别就阴茎异常勃起的定义、分类、病理生理学和病理学变化过程、诊断方法、治疗措施、治疗成功标志及治疗后勃起功能的康复等提出了新的见解和观点。本文还对特殊类型的异常勃起，如间歇性、睡眠相关性及肿瘤相关性异常勃起的临床表现和诊疗等做了阐述。希望对泌尿外科和男科医师更好地认识和处理阴茎异常勃起有所帮助。.
Keywords: classification; intermittent seizure; ischemic; non-ischemic; sleep-related painful erection; tumor-related; priapism.