Department of Emergency and Organ Transplantation - Urology, Andrology and Kidney Transplantation Unit, University of Bari, Piazza G. Cesare 11, 70124 Bari, Italy.
Ther Adv Urol. 2010 Feb;2(1):35-40. doi: 10.1177/1756287209359174.
Penile prosthesis implantation is recognized as a valid option to obtain an artificial erection satisfactory for sexual intercourse in those patients in which a pharmacological approach is contraindicated or ineffective. Penile prostheses are subbject to continuous development and they are achieving ever better mechanical reliability and safety. The devices are divided into two general types: semirigid (malleable and mechanical) and inflatables. The AMS® (American Medical Systems) and Coloplast Ltd® produce the majority of inflatable and semirigid devices.Malleable and mechanical prostheses have the disadvantage that the penis is always erect although it can be orientated in different ways, while the advantages are ease of use and the need for a simpler surgical procedure compared with inflatable prostheses. Three-component prostheses are more sophisticated than semirigid devices. The advantages of these devices are that the prosthesis feels softer than semirigid or two-piece devices when deflated, with a better cosmetic result, and it ensures a more natural erection than others kinds of prosthesis. The disadvantages are the possibility of malfunction and the need for a more complicated surgical technique. Implantation of a penile prosthesis can be performed in a short surgical time under locoregional anaesthesia, and for this reason hospitalization is usually brief and the patient can be discharged 2 days after the operation if complications are not evident. Patient and partner satisfaction reflect the quality and the effectiveness of this treatment. Even though the results are positive in the vast majority of patients, the possibility of several complications makes penile prosthesis implantation a delicate kind of surgery. Complications can happen when the operation is carried out, in the peri-operative and in the postoperative period, and include infections, erosions of the prosthesis and mechanical failure in case of inflatable prosthesis. Penile prostheses available on the market have improved the success of this kind of surgery, thanks to the introduction of new materials and designs.
阴茎假体植入被认为是一种有效的选择，可以为那些药物治疗禁忌或无效的患者获得满意的人工勃起，以进行性交。阴茎假体在不断发展，其机械可靠性和安全性不断提高。这些装置分为两种主要类型：半刚性（可弯曲和机械）和可充气。AMS®（美国医疗系统）和科洛普有限公司®生产大多数充气和半刚性装置。可弯曲和机械假体的缺点是阴茎始终勃起，尽管可以以不同的方式定向，而优点是易于使用，与充气假体相比，手术过程更简单。三组件假体比半刚性装置更复杂。这些装置的优点是，当充气时，假体比半刚性或两件式装置感觉更柔软，具有更好的美容效果，并确保比其他类型的假体更自然的勃起。缺点是可能出现故障，并且需要更复杂的手术技术。阴茎假体植入可以在局部麻醉下进行短时间的手术，因此住院时间通常很短，如果没有明显的并发症，患者可以在手术后 2 天出院。患者和伴侣的满意度反映了这种治疗的质量和效果。尽管绝大多数患者的结果都是积极的，但几种并发症的可能性使得阴茎假体植入成为一种精细的手术。手术过程中、围手术期和术后都可能发生并发症，包括感染、假体侵蚀和充气假体的机械故障。市场上可用的阴茎假体通过引入新材料和设计，提高了这种手术的成功率。
