Soliman H E, Milad M F, Ayyat F M, Zein T A, Hussein E S
Surgical Services Division, Saudi-Aramco, Dhahran Health Center, PO Box 76, Dhahran 31311, Kingdom of Saudi Arabia.
Saudi Med J. 2001 Jan;22(1):30-3.
To evaluate the reliability and safety of penile implants in the treatment of organic impotence at the Saudi Aramco - Dhahran Health Center.
A series of 108 cases of organic impotence that underwent 125 penile implantation procedures between 1988 and 1997 was reviewed. The follow-up period ranged between 6 months and 10 years. The mean age was 57.9 years (range 26-76). The prostheses used were AMS (American Medical System) inflatable (92 cases) and malleable (16 cases).
There were no complications in 86 patients, (80%) who had functioning prostheses all through the follow-up period. Revision of the implants was required in 13 patients (14%). The causes of revision were severe infection, intolerable pain from an oversized malleable prosthesis, and dysfunction of the inflatable prostheses. Removal of the implant was necessary in severe infection, intolerable pain, and extrusion of the prosthesis. All 9 patients (8%) had inflatable prostheses and refused a second implant. There was no single mortality among our series. The overall procedure complications involved 26 out of 125 procedures (21%). It was shown that malleable penile prostheses have significantly lower procedure complications than the inflatable ones (p<0.05).
Penile implants are reliable and safe modality of treatment for organic impotence with acceptable morbidity.
在沙特阿美公司达兰健康中心评估阴茎假体治疗器质性阳痿的可靠性和安全性。
回顾了1988年至1997年间108例器质性阳痿患者接受的125次阴茎植入手术。随访期为6个月至10年。平均年龄为57.9岁（范围26 - 76岁）。使用的假体为美国医疗系统公司（AMS）的可膨胀假体（92例）和可弯曲假体（16例）。
86例患者（80%）在整个随访期内假体功能正常，无并发症。13例患者（14%）需要对植入物进行翻修。翻修的原因包括严重感染、可弯曲假体过大导致难以忍受的疼痛以及可膨胀假体功能障碍。在严重感染、难以忍受的疼痛和假体挤出的情况下，需要取出植入物。所有9例患者（8%）使用的是可膨胀假体，拒绝再次植入。我们的系列病例中无死亡病例。125例手术中有26例（21%）出现总体手术并发症。结果显示，可弯曲阴茎假体的手术并发症明显低于可膨胀假体（p<0.05）。
阴茎植入物是治疗器质性阳痿可靠且安全的方式，发病率可接受。
