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佩罗尼氏病重建以实现最大长度和周长增加：几何原理

Peyronie's reconstruction for maximum length and girth gain: geometrical principles.

作者信息

Egydio Paulo H, Sansalone Salvatore

机构信息

Urology Institute, Rua Iguatemi 192 Cj. 42, São Paulo 01451-010, Brazil.

出版信息

Adv Urol. 2008;2008:205739. doi: 10.1155/2008/205739. Epub 2008 Dec 3.

DOI:10.1155/2008/205739
PMID:19081785
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2593786/
Abstract

Peyronie's disease has been associated with penile shortening and some degree of erectile dysfunction. Surgical reconstruction should be based on giving a functional penis, that is, rectifying the penis with rigidity enough to make the sexual intercourse. The procedure should be discussed preoperatively in terms of length and girth reconstruction in order to improve patient satisfaction. The tunical reconstruction for maximum penile length and girth restoration should be based on the maximum length of the dissected neurovascular bundle possible and the application of geometrical principles to define the precise site and size of tunical incision and grafting procedure. As penile rectification and rigidity are required to achieve complete functional restoration of the penis and 20 to 54% of patients experience associated erectile dysfunction, penile straightening alone may not be enough to provide complete functional restoration. Therefore, phosphodiesterase inhibitors, self-injection, or penile prosthesis may need to be added in some cases.

摘要

佩罗尼氏病与阴茎缩短及一定程度的勃起功能障碍有关。手术重建应旨在打造一个功能正常的阴茎，即矫正阴茎使其具备足够的硬度以进行性交。术前应就阴茎长度和周长重建进行讨论，以提高患者满意度。为实现阴茎最大长度和周长的恢复而进行的白膜重建，应基于尽可能长地游离神经血管束，并应用几何原理来确定白膜切口的精确位置和大小以及移植手术。由于阴茎矫正和硬度对于实现阴茎的完全功能恢复是必需的，且20%至54%的患者伴有勃起功能障碍，仅阴茎矫直可能不足以实现完全的功能恢复。因此，在某些情况下可能需要添加磷酸二酯酶抑制剂、自我注射或阴茎假体。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68d5/2593786/3069bec51ccf/AU2008-205739.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68d5/2593786/fe9196354661/AU2008-205739.001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68d5/2593786/922c09c08c4f/AU2008-205739.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68d5/2593786/3069bec51ccf/AU2008-205739.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68d5/2593786/fe9196354661/AU2008-205739.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68d5/2593786/3b817def6c9f/AU2008-205739.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68d5/2593786/07d5d7300a38/AU2008-205739.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68d5/2593786/b6f4293d5888/AU2008-205739.004.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68d5/2593786/922c09c08c4f/AU2008-205739.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68d5/2593786/3069bec51ccf/AU2008-205739.007.jpg

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本文引用的文献

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Asian J Androl. 2008 Jan;10(1):158-66. doi: 10.1111/j.1745-7262.2008.00374.x.
2
Duplex ultrasonography detects clinically significant anomalies of penile arterial vasculature affecting surgical approach to penile straightening.双功超声检查可检测出影响阴茎伸直手术方式的具有临床意义的阴茎动脉血管异常。
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The relationship between the type of penile abnormality and penile vascular status in patients with peyronie's disease.
采用猪小肠黏膜下层（SIS）进行 corporoplasty 的双中心前瞻性评估，用于治疗严重的 Peyronie 病患者。
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The role of intrinsic pathway in apoptosis activation and progression in Peyronie's disease.内源性途径在佩罗尼氏病细胞凋亡激活和进展中的作用。
Biomed Res Int. 2014;2014:616149. doi: 10.1155/2014/616149. Epub 2014 Aug 13.
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佩罗尼氏病患者阴茎异常类型与阴茎血管状态之间的关系。
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Critical analysis of surgery for Peyronie's disease.佩罗尼氏病手术的批判性分析。
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A single relaxing incision to correct different types of penile curvature: surgical technique based on geometrical principles.单一松弛切口矫正不同类型阴茎弯曲：基于几何原理的手术技术
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