Aubert J, Aubert M N, Irani J
Service d'Urologie, CHU de Poitiers, France.
Prog Urol. 1992 Aug-Sep;2(4):635-44.
The authors study impotence secondary to a pelvic fracture on the basis of a retrospective series of 16 cases. All these patients had a lesion of the membranous urethra and seven of them underwent a deferred emergency urethral repair. Although the constancy of the urethral lesion is probably related to the fact that this series was recruited from a urology department, impotence is classically considered to be more frequent in the presence of a urethral lesion than in the absence of such a lesion. Two patients presented with incomplete impotence and fourteen with complete impotence. Ten of these sixteen patients spontaneously regained satisfactory erections. When erections were not obtained, the authors analysed the various therapeutic possibilities available, stressing the arterial factor which is usually insufficiently investigated.
作者基于对16例骨盆骨折继发阳痿患者的回顾性研究展开了此项研究。所有这些患者均存在膜部尿道损伤，其中7例患者接受了延期急诊尿道修复术。尽管尿道损伤的持续性可能与该系列患者均来自泌尿外科这一事实有关，但传统观点认为，存在尿道损伤时阳痿的发生率高于无尿道损伤的情况。2例患者表现为不完全阳痿，14例为完全阳痿。这16例患者中有10例自发恢复了满意的勃起功能。当无法获得勃起功能时，作者分析了各种可用的治疗可能性，强调了通常未得到充分研究的动脉因素。
