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盆腔-会阴康复在治疗海绵体静脉漏中的作用

[Role of pelvi-perineal rehabilitation in the treatment of cavernous venous leakage].

作者信息

Schouman M, Lacroix P

机构信息

CETA (Centre d'Explorations et de Traitements Andrologiques), Neuilly.

出版信息

Ann Urol (Paris). 1991;25(2):93-4.

PMID:2064366
Abstract

The pathophysiological mechanisms, investigation and treatment of erectile dysfunction related to venous leakage are highly controversial. Although surgery appears to be the most logical treatment, the results obtained are very uncertain, regardless of the technique, and long-term improvements are rare. In this study, the authors propose an original management based on classical pelvi-perineal rehabilitation techniques combined with low-dose intracavernous injections. The preliminary results appear encouraging with about 50% improvement (improved or cured patients) in the various treated groups with a lasting result. The mechanism of action of rehabilitation is unclear, but this non-invasive technique should be considered prior to more aggressive management.

摘要

与静脉漏相关的勃起功能障碍的病理生理机制、检查及治疗极具争议性。尽管手术似乎是最合理的治疗方法,但无论采用何种技术,所取得的结果都非常不确定,长期改善的情况也很罕见。在本研究中,作者提出了一种基于经典盆腔 - 会阴康复技术并结合低剂量海绵体内注射的创新治疗方法。初步结果令人鼓舞,各个治疗组中约50%的患者(病情改善或治愈)取得了持久的效果。康复治疗的作用机制尚不清楚,但在采取更积极的治疗方法之前,应考虑这种非侵入性技术。

相似文献

1
[Role of pelvi-perineal rehabilitation in the treatment of cavernous venous leakage].盆腔-会阴康复在治疗海绵体静脉漏中的作用
Ann Urol (Paris). 1991;25(2):93-4.
2
Pelvi-perineal rehabilitation for dysfunctioning erections. A clinical and anatomo-physiologic study.
Int J Impot Res. 1993 Mar;5(1):13-26.
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[Study and treatment of erection disorders. Value of intracavernous injections].[勃起功能障碍的研究与治疗。海绵体内注射的价值]
J Urol (Paris). 1987;93(2):87-91.
4
What nonresponse to intracavernous injection really indicates: a determination by quantitative analysis.海绵体内注射无反应真正意味着什么:通过定量分析确定
J Urol. 2002 Jan;167(1):192-6.
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Long-term results of therapy with intracavernousal injections and penile venous surgery in chronic erectile dysfunction.海绵体内注射和阴茎静脉手术治疗慢性勃起功能障碍的长期疗效
Scand J Urol Nephrol Suppl. 1994;157:107-12.
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[Evaluation of clinical usefulness of direct drug injections for increasing local circulation, into cavernous bodies of the penis for treatment of erection impotence in patients with diabetes mellitus].[评估阴茎海绵体内直接药物注射以增加局部血液循环用于治疗糖尿病患者勃起功能障碍的临床效用]
Pol Tyg Lek. 1994;49(1-3):19-20.
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[Treatment of impotence with intracavernous papaverin injections].[阴茎海绵体内注射罂粟碱治疗阳痿]
Helv Chir Acta. 1989 Aug;56(3):383-6.
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[Long-term experiences with autoinjection therapy of papaverine in erectile dysfunction].[阴茎勃起功能障碍中罂粟碱自动注射疗法的长期经验]
Urologe A. 1988 Jan;27(1):18-21.
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[Corpus cavernosum injection treatment of erectile impotence].阴茎海绵体注射治疗勃起功能障碍
Z Urol Nephrol. 1990 Oct;83(10):539-46.
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[Prostaglandin E1 in erectile dysfunction].[前列腺素E1与勃起功能障碍]
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