Tran Viet Q, Lesser Timothy F, Kim Dennis H, Aboseif Sherif R
Section of NeuroUrology and Reconstructive Surgery, Department of Urology, Kaiser Permanente Medical Center, 4900 Sunset Boulevard, Los Angeles, CA 90027, USA.
Adv Urol. 2008;2008:370947. doi: 10.1155/2008/370947. Epub 2008 Nov 4.
For some patients with impotence and concomitant severe tunical/corporeal tissue fibrosis, insertion of a penile prosthesis is the only option to restore erectile function. Closing the tunica over an inflatable penile prosthesis in these patients can be challenging. We review our previous study which included 15 patients with severe corporeal or tunical fibrosis who underwent corporeal reconstruction with autologous rectus fascia to allow placement of an inflatable penile prosthesis. At a mean follow-up of 18 months (range 12 to 64), all patients had a prosthesis that was functioning properly without evidence of separation, herniation, or erosion of the graft. Sexual activity resumed at a mean time of 9 weeks (range 8 to 10). There were no adverse events related to the graft or its harvest. Use of rectus fascia graft for coverage of a tunical defect during a difficult penile prosthesis placement is surgically feasible, safe, and efficacious.
对于一些患有阳痿且伴有严重白膜/海绵体组织纤维化的患者，植入阴茎假体是恢复勃起功能的唯一选择。在这些患者中，在可膨胀阴茎假体上闭合白膜可能具有挑战性。我们回顾了我们之前的研究，该研究纳入了15例患有严重海绵体或白膜纤维化的患者，他们接受了自体腹直肌筋膜的海绵体重建，以便能够植入可膨胀阴茎假体。平均随访18个月（范围12至64个月），所有患者的假体功能正常，没有移植片分离、疝形成或侵蚀的迹象。平均在9周（范围8至10周）时恢复了性活动。没有与移植片或其获取相关的不良事件。在困难的阴茎假体植入过程中，使用腹直肌筋膜移植片覆盖白膜缺损在手术上是可行、安全且有效的。
