Chiang H S, Wu C C, Wen T C
Department of Urology, Taipei Medical College, Taiwan, Republic of China.
J Urol. 2000 Feb;163(2):476-80.
We evaluated the long-term results of penile prosthesis implantation during the last 10 years. Special considerations were examined concerning Asian corporeal diameter, device survival and sociocultural factors influencing patient-partner satisfaction.
We followed 331 patients who underwent penile prosthesis implantation from December 1985 to May 1996. Surgical data, postoperative complications and information from a survey on satisfaction are reported.
The most prevalent corporeal diameter in our patients was 11.0 to 11.5 cm. Postoperatively wound infection was the most serious surgical complication. The 5-year device survival was similar in the malleable and inflatable types except for a poorer outcome with the self-contained inflatable Hydroflex penile prosthesis. Overall patient satisfaction with surgery was 86.6%.
Penile prosthesis implantation still has its place as definitive therapy in some patients with uncorrectable erectile dysfunction. In Taiwanese society more consideration of prosthesis selection, surgical preparation and patient-partner counseling is the basis for further success in the future.
我们评估了过去10年阴茎假体植入的长期结果。对亚洲人的阴茎海绵体直径、假体存活率以及影响患者及其伴侣满意度的社会文化因素进行了特别考量。
我们对1985年12月至1996年5月期间接受阴茎假体植入的331例患者进行了随访。报告了手术数据、术后并发症以及满意度调查信息。
我们患者中最常见的阴茎海绵体直径为11.0至11.5厘米。术后伤口感染是最严重的手术并发症。除了自带充液式Hydroflex阴茎假体效果较差外，可弯曲型和可膨胀型假体的5年存活率相似。患者对手术的总体满意度为86.6%。
阴茎假体植入对于一些无法矫正的勃起功能障碍患者而言，仍是一种确定性治疗手段。在台湾社会，更多地考虑假体选择、手术准备以及对患者及其伴侣的咨询指导，是未来取得更大成功的基础。
