Minervini Andrea, Ralph David J, Pryor John P
St. Peter's Hospital and The Institute of Urology, London, UK.
BJU Int. 2006 Jan;97(1):129-33. doi: 10.1111/j.1464-410X.2005.05907.x.
To evaluate the outcome of penile prosthesis surgery for different types of prosthesis.
The notes of 447 men who had 504 penile prosthesis implanted between August 1975 and December 2000 were evaluated. Of the prostheses inserted, 393 were malleable, 81 were three-piece inflatable and 30 were self-contained hydraulic prostheses. The mean (range) age of the men was 52 (21-78) years; 404 men had primary implants and 43 had revision surgery after operations at other institutions. The mean follow-up was 50 (1-297) months.
Of the 447 men, 22 were lost to follow-up immediately after surgery. The most serious postoperative complications were infection (8%) and erosion (5%), which was more common in diabetic patients (10%) and after pelvic trauma with a urethral injury (21%). Of 482 prostheses, 21 failed mechanically (4%) and revision surgery was needed for 5% of the prostheses inserted (24/482). Overall, 89% (377/425) of men could have sexual intercourse and 344 (81%) were satisfied with the results.
Of the men implanted with a penile prosthesis, 81% were satisfied with the outcome and an even higher proportion were satisfied with the inflatable prostheses. Dissatisfaction was mainly due to complications that resulted in removal of the prosthesis.
评估不同类型阴茎假体手术的效果。
对1975年8月至2000年12月期间植入504个阴茎假体的447名男性患者的病历进行评估。所植入的假体中，393个为可弯曲式，81个为三件式可膨胀式，30个为自含式液压假体。这些男性患者的平均（范围）年龄为52（21 - 78）岁；404名男性接受了初次植入，43名在其他机构手术后进行了翻修手术。平均随访时间为50（1 - 297）个月。
447名男性中，22名在术后立即失访。最严重的术后并发症是感染（8%）和侵蚀（5%），在糖尿病患者中更常见（10%），在伴有尿道损伤的盆腔创伤后也更常见（21%）。在482个假体中，21个出现机械故障（4%），5%（24/482）的植入假体需要进行翻修手术。总体而言，89%（377/425）的男性能够进行性交，344名（81%）对结果满意。
植入阴茎假体的男性中，81%对结果满意，对可膨胀式假体满意的比例更高。不满意主要是由于导致假体取出的并发症。
