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佩罗尼病:折叠术或移植术。

Peyronie disease: plication or grafting.

机构信息

Division of Urologic Surgery, Department of Surgery, University of North Carolina, 2113 Physicians Office Building, CB 7235, 170 Manning Drive, Chapel Hill, NC 27599-7235, USA.

出版信息

Urol Clin North Am. 2011 May;38(2):207-16. doi: 10.1016/j.ucl.2011.03.001.

DOI:10.1016/j.ucl.2011.03.001
PMID:21621087
Abstract

Peyronie disease (PD) is an incurable, sexually debilitating disease resulting in penile deformity, coital failure, and significant psychological stress for patients and their partners. Appropriate treatment should be individualized and tailored to the patient's goals and expectations, disease history, physical examination findings, and erectile function. After medical therapy is considered and the disease has stabilized, surgical correction, including tunical shortening or lengthening procedures, is an excellent option for patients with functional impairment caused by PD. Outcomes are satisfactory when proper treatment decisions are made, with the goal being expected return to normal sexual function following PD treatment.

摘要

佩罗尼病(PD)是一种无法治愈的、会导致性功能障碍的疾病,会导致阴茎畸形、性交失败,并给患者及其伴侣带来严重的心理压力。适当的治疗应个体化,并根据患者的目标和期望、疾病史、体格检查结果和勃起功能进行调整。在考虑药物治疗后,且疾病稳定时,如果 PD 导致患者出现功能障碍,手术矫正(包括白膜缩短或延长手术)是一个很好的选择。如果做出正确的治疗决策,结果是令人满意的,目标是 PD 治疗后恢复正常的性功能。

相似文献

1
Peyronie disease: plication or grafting.佩罗尼病:折叠术或移植术。
Urol Clin North Am. 2011 May;38(2):207-16. doi: 10.1016/j.ucl.2011.03.001.
2
Surgical treatment of Peyronie's disease.佩罗尼氏病的外科治疗。
Can J Urol. 2006 Feb;13 Suppl 1:28-33.
3
Surgical treatment of Peyronie's disease.
Urol Clin North Am. 2005 Nov;32(4):479-85, vii. doi: 10.1016/j.ucl.2005.08.009.
4
Favorable patient reported outcomes after penile plication for wide array of peyronie disease abnormalities.阴茎白膜折叠术治疗多种 Peyronie 病畸形的患者报告结局良好。
J Urol. 2013 Mar;189(3):1019-24. doi: 10.1016/j.juro.2012.09.085. Epub 2012 Sep 24.
5
Outcomes of surgical treatment of Peyronie's disease.佩罗尼病的手术治疗结果。
BJU Int. 2014 May;113(5):704-13. doi: 10.1111/bju.12565.
6
Peyronie's disease: review and recent advances.佩罗尼氏病:综述与最新进展
Maturitas. 2014 Aug;78(4):341-3. doi: 10.1016/j.maturitas.2014.05.024. Epub 2014 Jun 6.
7
Surgical approaches for advanced Peyronie's disease patients.晚期佩罗尼氏病患者的手术治疗方法。
Int J Impot Res. 2003 Oct;15 Suppl 5:S121-4. doi: 10.1038/sj.ijir.3901085.
8
Subjective patient-reported experiences after surgery for Peyronie's disease: corporeal plication versus plaque incision with vein graft.佩罗尼氏病手术后患者主观报告的经历:阴茎折叠术与带静脉移植的斑块切开术对比
Urology. 2008 Apr;71(4):698-702. doi: 10.1016/j.urology.2007.11.065.
9
Peyronie disease in younger men: characteristics and treatment results.年轻男性佩罗尼氏病:特征与治疗结果
J Androl. 2003 Jan-Feb;24(1):27-32.
10
Minimally invasive intracorporeal incision of Peyronie's plaque: initial experiences with a new technique.佩罗尼氏病斑块的微创体内切开术:一项新技术的初步经验
Urology. 2006 Oct;68(4):852-7. doi: 10.1016/j.urology.2006.05.006.

引用本文的文献

1
Diagnosis and Management of Peyronie's Disease: A Clinical Consensus Statement and Recommendations from the Korean Society for Sexual Medicine and Andrology.佩罗尼氏病的诊断与管理:韩国性医学与男科学会的临床共识声明及建议
World J Mens Health. 2025 Jan;43(1):50-59. doi: 10.5534/wjmh.240200. Epub 2024 Oct 25.
2
ESSM Position Statement on Surgical Treatment of Peyronie's Disease.阴茎硬结症外科治疗的ESSM立场声明。
Sex Med. 2022 Feb;10(1):100459. doi: 10.1016/j.esxm.2021.100459. Epub 2021 Nov 22.
3
Clinical and penile Doppler outcomes using a modified, tourniquet free, Nesbit plication for severe Peyronie's disease.
采用改良的、无需止血带的Nesbit折叠术治疗重度佩罗尼氏病的临床及阴茎多普勒检查结果
Transl Androl Urol. 2021 Jul;10(7):2857-2870. doi: 10.21037/tau-20-1338.
4
Salvage Penile Plication Is an Effective Modality for Resolving Residual Curvature After Surgery for Peyronie's Disease.挽救性阴茎折叠术是治疗佩罗尼氏病手术后残余阴茎弯曲的有效方法。
Sex Med. 2020 Dec;8(4):686-690. doi: 10.1016/j.esxm.2020.09.001. Epub 2020 Oct 7.
5
Simultaneous curvature correction at the time of the penile fracture repair: surgical and functional outcomes.阴茎骨折修复时同步进行曲率矫正:手术及功能结果
Res Rep Urol. 2019 Apr 16;11:105-110. doi: 10.2147/RRU.S191997. eCollection 2019.
6
Combined Plaque Incision, Buccal Mucosa Grafting, and Additional Tunica Albuginea Plication for Peyronie's Disease.联合斑块切开术、颊黏膜移植术及额外的白膜折叠术治疗佩罗尼氏病
Sex Med. 2019 Mar;7(1):48-53. doi: 10.1016/j.esxm.2018.11.002. Epub 2018 Dec 11.
7
Intralesional collagenase in the management of Peyronie's disease: current best practice.病灶内注射胶原酶治疗佩罗尼氏病:当前最佳实践
Ther Adv Urol. 2018 Feb 8;10(4):139-153. doi: 10.1177/1756287218755020. eCollection 2018 Apr.
8
All about Peyronie's disease.关于佩罗尼氏病的一切。
Asian J Urol. 2015 Apr;2(2):70-78. doi: 10.1016/j.ajur.2015.04.019. Epub 2015 Apr 16.
9
Penile Plication With or Without Degloving of the Penis Results in Similar Outcomes.阴茎折叠术加或不加阴茎脱套术的效果相似。
Sex Med. 2017 Sep;5(3):e142-e147. doi: 10.1016/j.esxm.2017.05.001. Epub 2017 Jul 13.
10
Geometrical modified nesbit corporoplasty to correct different types of penile curvature: description of the surgical procedure based on geometrical principles and long-term results.几何改良Nesbit阴茎成形术矫正不同类型阴茎弯曲:基于几何原理的手术步骤描述及长期结果
Int J Impot Res. 2016 Nov;28(6):209-215. doi: 10.1038/ijir.2016.28. Epub 2016 Aug 11.