Rodríguez Tolrá J, Franco Miranda E, Arbelaez Arango S, Trilla Herrera E, Serrallach Milá N
Unidad de Andrología, Servicio de Urología, Ciudad Sanitaria y Unversitaria de Bellvitge, Barcelona.
Actas Urol Esp. 2002 Apr;26(4):261-5. doi: 10.1016/s0210-4806(02)72770-8.
To present our experience with Hydroflex and Dynaflex self-contained inflatable penile prosthesis.
Between october 1988 and december 2000 a total of 63 men underwent implantation of 8 Hydroflex and 55 Dynaflex penile prosthesis. The follow-up period ranged from 12 and 127 months (mean 54.5).
A total of 124 cylinders were implanted (in 2 cases only 1 cylinder was implanted). During implantation 3 corpora cavernosun ruptures were present, but implantation was possible in 2. Specific complication rates after implantation were as follow: early infection, 3 patients (4.7%); late infection, 1 patient (1.6%); pain that needed readmission 2 cases (3.2%); mechanical device failure, 7 cylinders in 6 men (mean time 83.5 months). 7 men (11.1%) needed prolonged teaching time to operate the prosthesis. Only 6 men (9.5%) wer dissatisfied with the prosthesis. It was possible to change only 1 cylinder when needed.
Self-contained inflatable prosthesis brings good results on long time use. The mechanical malfunction rate is low and it is possible to change only one cylinder if needed. An important number of patients need intensive and prolonged teaching time to obtain a successful result.
介绍我们使用Hydroflex和Dynaflex自含式可膨胀阴茎假体的经验。
1988年10月至2000年12月期间，共有63名男性接受了8个Hydroflex和55个Dynaflex阴茎假体的植入。随访期为12至127个月（平均54.5个月）。
共植入124个圆柱体（2例仅植入1个圆柱体）。植入过程中出现3例海绵体破裂，但2例仍可完成植入。植入后的具体并发症发生率如下：早期感染3例（4.7%）；晚期感染1例（1.6%）；因疼痛需再次入院2例（3.2%）；机械装置故障，6名男性中的7个圆柱体（平均时间83.5个月）。7名男性（11.1%）需要较长时间的指导来操作假体。只有6名男性（9.5%）对假体不满意。必要时仅能更换1个圆柱体。
自含式可膨胀假体长期使用效果良好。机械故障率低，必要时仅能更换1个圆柱体。相当数量的患者需要强化和长期的指导才能取得成功的效果。
