Radopoulos D, Vakalopoulos I, Thanos P
A'Urology Department, Aristotle University of Thessaloniki, G.Gennimatas General Hospital of Thessaloniki, Thessaloniki, Greece.
Int J Impot Res. 2009 Jan-Feb;21(1):82-7. doi: 10.1038/ijir.2008.64. Epub 2008 Dec 18.
Our purpose is to assess efficacy and complications of preputial skin graft for treatment of penile curvatures by grafting corporoplasty. Five congenital curvature and 14 Peyronie's disease patients were treated by grafting corporoplasty using preputial skin. Patients were evaluated by medical history and International Index of Erectile Function-5 (IIEF-5) questionnaire. After injection-induced erection, patients were evaluated by penile length measurement and color Duplex. Patients were re-evaluated 1 month later and advised to start intercourse. Patients were also evaluated during the 3rd and 12th months postoperatively, as per the original protocol. By the end of the follow-up period, 75% of patients were satisfied with straightened penises, without dilatation of the graft (ballooning) or venous leakage. Patients also exhibited a mean increase of two units in IIEF-5 score. Penile straightening and satisfaction rate were lower in the remaining 25% of patients, but no complaints of worsening erection or bulging of the graft area were reported. Preputial graft is an inexpensive procedure involving a tissue familiar to the urologist. The results of grafting corporoplasty are promising, without significant complications.
我们的目的是评估通过移植阴茎成形术使用包皮皮肤治疗阴茎弯曲的疗效和并发症。对5例先天性弯曲和14例佩罗尼氏病患者采用包皮皮肤移植阴茎成形术进行治疗。通过病史和国际勃起功能指数-5（IIEF-5）问卷对患者进行评估。注射诱导勃起后，通过测量阴茎长度和彩色双功超声对患者进行评估。1个月后对患者进行重新评估，并建议开始性交。根据原始方案，在术后第3个月和第12个月对患者进行评估。在随访期结束时，75%的患者对阴茎变直感到满意，移植部位无扩张（气球样变）或静脉漏。患者的IIEF-5评分平均增加了两个单位。其余25%的患者阴茎变直和满意度较低，但未报告勃起恶化或移植部位膨出的主诉。包皮移植是一种成本低廉的手术，涉及泌尿科医生熟悉的组织。移植阴茎成形术的结果很有前景，且无明显并发症。
