School of Medicine, University of Alabama, 314 Cliftworth Place, Madison, AL, 35758, USA,
Curr Urol Rep. 2014 Jun;15(6):413. doi: 10.1007/s11934-014-0413-6.
Penile implants hold a major position in the treatment algorithm for patients with erectile dysfunction who find medications and vacuum erection devices ineffective or unsatisfactory. As with any surgical procedure, adverse events may occur. The infection rate associated with implant placement has been lowered to the range of 1 % or less due to multifactorial improvements including no-touch techniques, the use of antibiotic-coated devices, and improved quality measures in the operating room. Urologists have been proactive in employing techniques and procedures which minimize loss of erectile length, hence enhancing patient satisfaction. Flat reservoirs have been developed and techniques of placing these to avoid problems in the space of Retzius have reduced complication rates as well. Device reliability has improved to the point that penile implants are among the most durable mechanical surgical products that contribute to patient and partner satisfaction, which is by far the greatest among all the treatments of erectile dysfunction.
阴茎植入物在治疗勃起功能障碍患者的治疗算法中占有重要地位，这些患者发现药物和真空勃起装置无效或不满意。与任何手术程序一样，可能会发生不良事件。由于多种因素的改进，包括无接触技术、使用抗生素涂层装置以及在手术室中提高质量措施，与植入物放置相关的感染率已降低到 1%或更低。泌尿科医生一直在积极采用技术和程序，以最大限度地减少勃起长度的损失，从而提高患者满意度。已经开发出扁平储液器，并采用这些技术来避免在 Retzius 空间中出现问题，从而降低了并发症的发生率。器械的可靠性已经提高，以至于阴茎植入物是最耐用的机械外科产品之一，有助于患者和伴侣的满意度，这是迄今为止所有勃起功能障碍治疗中最大的满意度。
