Department of Urology, Urology and Nephrology Center, Mansoura University, Mansoura, Egypt.
Int J Impot Res. 2012 Jan-Feb;24(1):20-5. doi: 10.1038/ijir.2011.41. Epub 2011 Aug 11.
This study was conducted to determine the preoperative and intraoperative risk factors of ED and the underlying penile vascular abnormalities among patients with penile fracture treated surgically. In all, 180 patients with penile fracture were treated surgically and followed up in one center. None of our patients had ED before the penile trauma and only two of them had risk factors for systemic vascular diseases, such as diabetes mellitus (one patient) and hypertension (one patient). After a mean follow-up of 106 months, 11 patients (6.6%) developed ED, 7 had mild ED and 4 had moderate ED. The main risk factors for subsequent ED were aging, >50 years, and bilateral corporal involvement. Among the 11 patients with ED, color Doppler ultrasonography (CDU) showed normal Doppler indices in 4 (36.4%), veno-occlusive dysfunction in 4 (36.4%) and arterial insufficiency in the remaining 3 (27.2%) patients. CDU assessments from the injured and intact sides were comparable. ED of either a psychological or vascular origin can be encountered as a long-term sequel of surgical treatment of penile fracture. Aging, >50 years, at presentation and bilateral corporal involvement is the main risk factors for subsequent development of ED.
本研究旨在确定接受手术治疗的阴茎骨折患者中 ED 的术前和术中危险因素以及潜在的阴茎血管异常。总共对 180 例阴茎骨折患者进行了手术治疗，并在一个中心进行了随访。我们的患者在阴茎外伤前均无 ED，仅有 2 例存在全身性血管疾病的危险因素，如糖尿病（1 例）和高血压（1 例）。平均随访 106 个月后，11 例（6.6%）患者发生 ED，其中 7 例为轻度 ED，4 例为中度 ED。随后发生 ED 的主要危险因素是年龄>50 岁和双侧海绵体受累。在 11 例 ED 患者中，4 例（36.4%）彩色多普勒超声（CDU）显示正常多普勒指数，4 例（36.4%）静脉闭塞性功能障碍，3 例（27.2%）动脉功能不全。损伤侧和未损伤侧的 CDU 评估结果相似。ED 可能是阴茎骨折手术治疗的长期后遗症，包括心理或血管源性。年龄>50 岁、就诊时和双侧海绵体受累是随后发生 ED 的主要危险因素。
