Gelbard M K, Hayden B
Department of Surgery, UCLA School of Medicine.
J Urol. 1991 Apr;145(4):772-6. doi: 10.1016/s0022-5347(17)38447-1.
We describe a procedure to expand contractures of the tunica albuginea by multiple full thickness relaxing incisions followed by inlay of tailored temporalis fascia free grafts. This technique is performed without resection of the tunica albuginea, although in the case of calcified plaques the calcifications themselves are removed, preserving the overlying tunica. Between September 1988 and February 1990, 12 patients have undergone this procedure, all of whom have greater than 3 months of followup and have experienced spontaneous erections within the first week postoperatively. Of the patients 11 resumed intercourse within 8 weeks of surgery and 1 required 12 weeks. No patient had sensory loss postoperatively and there has been no donor site morbidity. Correction of curvature was accomplished in all patients and there have been no recurrences within a maximal followup of 22 months. Within the limitations of such a small study we believe that there is evidence supporting this approach in potent patients with severe acquired penile curvature.
我们描述了一种通过多个全层松解切口来扩大白膜挛缩，随后植入定制颞肌筋膜游离移植物的手术方法。该技术在不切除白膜的情况下进行，不过对于钙化斑块，会去除钙化部分，保留其上方的白膜。在1988年9月至1990年2月期间，12例患者接受了此手术，所有患者的随访时间均超过3个月，且在术后第一周内均出现了自发勃起。其中11例患者在术后8周内恢复性交，1例需要12周。术后无患者出现感觉丧失，供区也无并发症。所有患者的阴茎弯曲均得到矫正，在最长22个月的随访期内无复发。在如此小样本研究的局限性范围内，我们认为有证据支持这种方法用于患有严重后天性阴茎弯曲的有勃起功能的患者。
