Mufti G R, Aitchison M, Bramwell S P, Paterson P J, Scott R
Department of Urology, Glasgow Royal Infirmary, Scotland.
J Urol. 1990 Aug;144(2 Pt 1):281-2; discussion 283. doi: 10.1016/s0022-5347(17)39432-6.
A retrospective study was done on 30 patients who underwent surgical correction of the penile deformity secondary to Peyronie's disease between 1983 and 1988. Mean followup was 31 months (range 9 to 72 months). Nine patients (30%) underwent Nesbit's operation, 8 (27%) had incision and transverse closure of the tunica albuginea and 13 (43%) had corporeal plication. Over-all, 19 patients (63%) improved postoperatively, which implied erection free of pain with minimal or no deformity and the ability to perform normal sexual intercourse. Presence of pain with deformity was an important factor that influenced the surgical result and should be regarded as a contraindication to surgical intervention. The results of corporeal plication were as good as the other 2 methods. The advantages of this procedure over the other 2 methods are discussed. We recommend this procedure for patients in whom surgical correction of the deformity is indicated.
对1983年至1988年间因佩罗尼氏病继发阴茎畸形而接受手术矫正的30例患者进行了一项回顾性研究。平均随访时间为31个月（范围9至72个月）。9例患者（30%）接受了内斯比特手术，8例（27%）进行了白膜切开及横向缝合，13例（43%）进行了阴茎海绵体折叠术。总体而言，19例患者（63%）术后病情改善，这意味着勃起时无痛且畸形轻微或无畸形，并且能够进行正常性生活。伴有畸形的疼痛是影响手术结果的一个重要因素，应被视为手术干预的禁忌证。阴茎海绵体折叠术的效果与其他两种方法一样好。本文讨论了该手术方法相对于其他两种方法的优势。对于有手术矫正畸形指征的患者，我们推荐这种手术方法。
