Knispel H H, Gonnermann D, Huland H
Department of Urology, Klinikum Steglitz, Free University Berlin, FRG.
Eur Urol. 1991;20(2):107-12. doi: 10.1159/000471676.
We treated 37 patients with severe congenital or acquired penile curvature with a modified Essed-Schroeder corporoplasty without excision of the tunica albuginea. After penile straightening, 34 of the 37 patients (91.9%) were able to resume normal coitus and 29 (78.4%) had excellent results, cosmetic and sexual. Postoperative progression of Peyronie's disease and shortening of the erect penis were rare. In 4 patients, partial necrosis of penile shaft skin or of the prepuce complicated the postoperative course, but there were no long-term sequelae in any case. In patients with concomitant preoperative erectile dysfunction, the dysfunction did not improve after corporoplasty; such patients should be treated primarily with a penile implant. We recommend the modified Essed-Schroeder corporoplasty as a safe and simple method to correct penile curvature.
我们采用改良的埃塞德-施罗德阴茎成形术，在不切除白膜的情况下，治疗了37例患有严重先天性或后天性阴茎弯曲的患者。阴茎矫直后，37例患者中有34例（91.9%）能够恢复正常性交，29例（78.4%）在外观和性功能方面取得了优异效果。佩罗尼氏病的术后进展和勃起阴茎缩短的情况很少见。4例患者术后出现阴茎干皮肤或包皮部分坏死，但无论如何均无长期后遗症。对于术前伴有勃起功能障碍的患者，阴茎成形术后功能并未改善；此类患者应首先采用阴茎植入物进行治疗。我们推荐改良的埃塞德-施罗德阴茎成形术作为一种安全、简单的纠正阴茎弯曲的方法。
