Schaeffer Edward M, Jarow Jonathan P, Vrablic Joseph, Jarow Jonathan P
Department of Urology, James Buchanan Brady Urological Institute, Johns Hopkins Medical Institutions, Baltimore, Maryland, USA.
Urology. 2006 Jan;67(1):166-9. doi: 10.1016/j.urology.2005.08.009.
To determine the frequency of aberrant penile arterial anatomy in men with Peyronie's disease (PD) and the potential impact on the surgical approach to penile straightening.
A retrospective analysis of 63 consecutive men undergoing penile duplex ultrasonography in preparation for penile straightening surgery was performed. They were compared with a group of 61 men with erectile dysfunction (ED) undergoing penile duplex ultrasonography during the same period.
Arterial anomalies distal to the pubic symphysis were noted in 44% of men with PD and 46% of men with ED. The most common anomaly observed was crossing cavernosal arteries seen in 37% of the men with PD and 39% of the men with ED. Distal perforators of the dorsal artery supplying the cavernosal bodies were observed in 10% and 8% of the men with PD and ED, respectively. No difference was found in the overall frequency or type of arterial anomalies between the two groups.
Men with PD have a high prevalence of arterial anomalies, including distal perforating arteries. Their preoperative evaluation should include duplex ultrasonography with delineation of the penile arterial anatomy. This will aid in surgical planning and potentially prevent maneuvers that may adversely affect the cavernosal blood supply and place the patient at risk of postoperative ED.
确定佩罗尼氏病（PD）男性患者阴茎动脉解剖异常的发生率及其对阴茎矫直手术方法的潜在影响。
对63例连续接受阴茎双功超声检查以准备阴茎矫直手术的男性患者进行回顾性分析。将他们与同期61例接受阴茎双功超声检查的勃起功能障碍（ED）男性患者进行比较。
耻骨联合远端的动脉异常在44%的PD男性患者和46%的ED男性患者中被发现。观察到的最常见异常是海绵体交叉动脉，在37%的PD男性患者和39%的ED男性患者中可见。分别在10%的PD男性患者和8%的ED男性患者中观察到供应海绵体的背动脉远端穿支。两组之间动脉异常的总体发生率或类型没有差异。
PD男性患者动脉异常的患病率很高，包括远端穿支动脉。他们的术前评估应包括双功超声检查以描绘阴茎动脉解剖结构。这将有助于手术规划，并可能防止采取可能对海绵体血液供应产生不利影响并使患者面临术后ED风险的操作。
