Villarreal Humberto G, Jones Leroy
Department of Urology, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, P.O. Box 7845, San Antonio, TX 78229-3900, USA.
Adv Urol. 2012;2012:240963. doi: 10.1155/2012/240963. Epub 2012 May 29.
Objective. To determine the outcomes of and satisfaction with the multi-component inflatable penile prosthesis (IPP) in the elderly male (age >71). Methods. Using a chart review and telephone survey, we retrospectively assessed patients who underwent IPP or combined IPP/artificial urinary sphincter (AUS) from 2004-2006. Results. We identified 56 patients that underwent IPP (48) or IPP/AUS (8). The age range was 71-86 (mean 74.3) at the time of surgery, with a follow-up range of 0.5-2.4 years (mean 1.5). The overall complication rate was 3.8% (2 of 56) with one device removed for infection and a second patient requiring exploration for a postoperative hematoma. The telephone interview was conducted with 35 of 56 patients. Patients rated ease of use (a scale from 1-5, 5 meaning very easy) and overall satisfaction (a scale of 1-5, 5 meaning very satisfied) at an average of 4.1 and 4.3, respectively. IPP usage varied from 0-7 times per month (mean 3.3). 32 of 35 patients (91%) said they would undergo the procedure again. Conclusion. Our review demonstrates that the IPP is well tolerated in the elderly male population, who report a high degree of satisfaction and ease of use with this device.
目的。确定老年男性（年龄>71岁）使用多组件可膨胀阴茎假体（IPP）的治疗效果及满意度。方法。通过查阅病历和电话调查，我们回顾性评估了2004年至2006年期间接受IPP或联合IPP/人工尿道括约肌（AUS）治疗的患者。结果。我们确定了56例接受IPP（48例）或IPP/AUS（8例）治疗的患者。手术时年龄范围为71 - 86岁（平均74.3岁），随访时间为0.5 - 2.4年（平均1.5年）。总体并发症发生率为3.8%（56例中的2例），其中1例因感染取出装置，另1例患者因术后血肿需要探查。对56例患者中的35例进行了电话访谈。患者对使用便利性（1 - 5分制，5分表示非常容易）和总体满意度（1 - 5分制，5分表示非常满意）的评分平均分别为4.1和4.3。IPP的使用频率为每月0 - 7次（平均3.3次）。35例患者中有32例（91%）表示愿意再次接受该手术。结论。我们的研究表明，老年男性对IPP耐受性良好，他们对该装置的满意度和使用便利性评价很高。
