Chaudhary M, Sheikh N, Asterling S, Ahmad I, Greene D
Department of Urology, Sunderland Royal Hospital, Sunderland, United Kingdom.
Urology. 2005 Apr;65(4):760-4. doi: 10.1016/j.urology.2004.10.039.
To evaluate, retrospectively, the impact of penile correction by modeling of the penis over an inflatable penile prosthesis and the subsequent improvement in erectile function. Advanced Peyronie's disease with severe penile curvature and poor quality erections presents a challenge to the urologist.
In our series, 46 patients with advanced Peyronie's disease and associated erectile dysfunction underwent insertion of an inflatable penile prosthesis between 1998 and 2003. Of the 46 patients, 28 (61%) underwent a standard modeling procedure; the other 18 patients (39%) did not need additional modeling, because their curvature was corrected by inflation of the prosthesis alone. Patients were evaluated postoperatively in the clinic, as well as by a postal questionnaire.
Of the 46 patients, 44 were satisfied with the penile correction and 2 (4.4%) underwent removal of their prosthesis because of infection. These 2 patients underwent revision surgery; subsequently both prostheses had to be removed, one for severe pain and the other for urethral erosion. None of the patients underwent reoperation for additional straightening. Of the 44 patients with intact prostheses, erectile function significantly improved in 41 (93%).
The results of our study have indicated that patients with severe Peyronie's disease and erectile dysfunction should be offered the choice of penile modeling over an inflatable penile implant to correct the curvature, as well as improve erectile function.
回顾性评估阴茎矫正术对可膨胀阴茎假体植入后的影响以及勃起功能的后续改善情况。患有严重阴茎弯曲和勃起质量差的晚期佩罗尼氏病给泌尿外科医生带来了挑战。
在我们的研究系列中，46例患有晚期佩罗尼氏病及相关勃起功能障碍的患者在1998年至2003年间接受了可膨胀阴茎假体植入术。在这46例患者中，28例（61%）接受了标准的塑形手术；另外18例患者（39%）无需额外塑形，因为仅通过假体充气就矫正了阴茎弯曲。术后在诊所对患者进行评估，并通过邮寄问卷进行调查。
46例患者中，44例对阴茎矫正满意，2例（4.4%）因感染取出了假体。这2例患者接受了翻修手术；随后两个假体都不得不取出，一个是因为剧痛，另一个是因为尿道侵蚀。没有患者因进一步矫正而再次手术。在44例假体完好的患者中，41例（93%）的勃起功能有显著改善。结论：我们的研究结果表明，对于患有严重佩罗尼氏病和勃起功能障碍的患者，应提供在可膨胀阴茎植入物上进行阴茎塑形的选择，以矫正弯曲并改善勃起功能。
