Xuan Xu-Jun, Li Zheng, Sun Peng, Xu Zhi-Shun
Department of Urology, Qilu Hospital, Shandong University, Jinan, Shandong 250012, China.
Zhonghua Nan Ke Xue. 2003 Aug;9(5):352-4.
To evaluate the effect of the treatment on paraplegic patients with erectile dysfunction (ED) by implantation of China-made three-piece inflatable penile prosthesis.
Eighteen paraplegic patients with ED refractory to non-operative treatment were implanted with three-piece inflatable penile prosthesis through an incision at the border of penis and scrotum. The rate of maintained coitus and the satisfactory coitus of spouse were obtained by inquiring and letter visiting.
Operations were successfully performed upon all 18 patients. Follow-ups after operations ranged from 3 months to 36 months, mean follow-up being 18 months. Fluid exudation from penile prosthesis and localized infection occurred in one patient and mechanic complication occurred in two. Maintained coitus rate was 17/18. Ejaculation reflection occurred in three patients.
Treatment of paraplegic patient with ED refractory to non-operative treatment by implantation of China-made three-piece inflatable penile prosthesis has good concealment and rehabilitative effect, with similar mechanical troubles to imported products. With excellent covertness, implantation of three-piece inflatable penile prosthesis is well accepted by ED patients.
评估国产三件套可膨胀阴茎假体植入术治疗截瘫伴勃起功能障碍（ED）患者的疗效。
对18例非手术治疗无效的截瘫伴ED患者，经阴茎阴囊交界处切口植入三件套可膨胀阴茎假体。通过询问和信访获取性交维持率及配偶性交满意度。
18例患者手术均成功。术后随访3个月至36个月，平均随访18个月。1例出现阴茎假体渗液及局部感染，2例出现机械性并发症。性交维持率为17/18。3例患者出现射精反射。
采用国产三件套可膨胀阴茎假体植入术治疗非手术治疗无效的截瘫伴ED患者，具有良好的隐蔽性和康复效果，机械故障与进口产品相似。三件套可膨胀阴茎假体植入术隐蔽性好，易为ED患者接受。
