Vardi Y, Gruenwald I, Gedalia U, Nassar S, Engel A, Har-Shai Y
Department of Neuro-Urology, Rambam Medical Center, Haifa, Israel.
Int J Impot Res. 2004 Apr;16(2):181-6. doi: 10.1038/sj.ijir.3901120.
The objective of this study was to report long-term success rates for penile revascularization (PR) and investigate factors responsible for failures. During the past 10 y, data were obtained on 52 patients who underwent PR. Surgical technique was selected according to preoperative arteriographic findings. The mean age was 28.5 y and the mean follow-up was 70.8 months. Success was defined as satisfactory intercourse without additional therapy. Overall success was 48%. Patients under 28 y showed a 73% success rate vs 23% in the older ones (P=0.0003). Nonsmokers had a 57% success compared to 29% in smokers (P=0.05). The presence of venous leak and type of procedure had an insignificant impact on success (P=0.33 and 0.23 respectively). To conclude, this curative treatment option is limited to a selective population with vasculogenic erectile dysfunction. We found that the cure rate of this procedure is maintained and long-term follow-up shows good results, especially in the young nonsmokers.
本研究的目的是报告阴茎血管重建术（PR）的长期成功率，并调查导致失败的因素。在过去10年中，收集了52例行PR患者的数据。根据术前动脉造影结果选择手术技术。平均年龄为28.5岁，平均随访时间为70.8个月。成功定义为无需额外治疗即可进行满意的性交。总体成功率为48%。28岁以下患者的成功率为73%，而年龄较大患者的成功率为23%（P = 0.0003）。非吸烟者的成功率为57%，吸烟者为29%（P = 0.05）。静脉漏的存在和手术类型对成功率的影响不显著（分别为P = 0.33和0.23）。总之，这种治疗方法仅限于患有血管性勃起功能障碍的特定人群。我们发现该手术的治愈率得以维持，长期随访显示效果良好，尤其是在年轻非吸烟者中。
