Kuehhas Franklin E, Weibl Peter, Georgi Tosev, Djakovic Nenad, Herwig Ralf
Rev Urol. 2011;13(3):139-46.
Peyronie's disease (PD) is a fibrous inelastic scar of the tunica albuginea, leading to penile deformity, penile curvature, shortening, narrowing, and painful erections that subsequently lead to painful or unsatisfying sexual intercourse. No consensus exists yet on the ideal management of PD. This fact is a result of our limited knowledge of its etiology and causative factors. The acute presentation of PD is treated conservatively, and surgical approaches are only attempted if severe curvature, narrowing, or indentation persists for more than 1 year; PD stability exists for at least 3 months; curvature impedes sexual intercourse; and severe penile shortening occurs. This review focuses on new developments for conservative treatment strategies for PD.
佩罗尼氏病(PD)是白膜的一种纤维性无弹性瘢痕,可导致阴茎畸形、阴茎弯曲、缩短、变窄以及疼痛性勃起,进而导致性交疼痛或不满意。目前对于佩罗尼氏病的理想治疗方法尚无共识。这一事实是由于我们对其病因和致病因素的了解有限。佩罗尼氏病的急性期采用保守治疗,只有在严重弯曲、变窄或凹陷持续超过1年;存在至少3个月的佩罗尼氏病稳定性;弯曲妨碍性交;以及出现严重阴茎缩短的情况下才尝试手术治疗。本综述重点关注佩罗尼氏病保守治疗策略的新进展。