Pryor Michael B, Carrion Rafael, Wang Run, Henry Gerard
Regional Urology, 255 Bert Kouns Industrial Loop, Shreveport, LA, USA.
Department of Urology, University of South Florida, Tampa, Florida, USA.
Asian J Androl. 2016 Sep-Oct;18(5):754-8. doi: 10.4103/1008-682X.163266.
A common complaint after inflatable penile prosthesis surgery is reduced penile length. We previously reported how using the Coloplast Titan inflatable penile prosthesis with aggressive new length measurement technique (NLMT) coupled with postoperative IPP rehabilitation of the implant for 1-year helped to improve patient satisfaction and erectile penile measurements. This is a 2 years follow-up of a prospective, three-center, study of 40 patients who underwent Titan prosthesis placement, with new length measurement technique for erectile dysfunction. Patient instructions were to inflate daily for 6 months and then inflate maximally for 1-2 h daily for 6-24 months. Fifteen penile measurements were taken before and immediately after surgery and at follow-up visits. Measurement changes were improved at 24 months as compared to immediately postoperative and at 12 months. 67.8% of subjects were satisfied with their length at 2 years, and 77% had perceived penile length that was longer (30.8%) or the same (46.2%) as prior to the surgery. 64.3% and 17.9% of subjects had increased and unchanged satisfaction, respectively, with penile length as compared to prior to penile implant surgery. All but one subject (96.5%) was satisfied with the overall function of his implant. This study suggests using the Coloplast Titan with aggressive cylinder sizing, and a postoperative penile rehabilitation inflation protocol can optimize patient satisfaction and erectile penile measurements at 2 years postimplant.
阴茎充气式假体手术后常见的一个问题是阴茎长度缩短。我们之前报告过，使用科洛普拉斯（Coloplast）公司的Titan阴茎充气式假体，并采用激进的新长度测量技术（NLMT），同时术后对植入物进行为期1年的阴茎假体康复治疗，有助于提高患者满意度和阴茎勃起测量值。这是一项对40例行Titan假体植入术患者进行的前瞻性、三中心研究的2年随访，采用新的长度测量技术治疗勃起功能障碍。患者的使用说明是，每天充气6个月，然后每天最大程度充气1 - 2小时，持续6 - 24个月。在手术前、手术后即刻以及随访时进行了15次阴茎测量。与术后即刻和12个月时相比，24个月时测量值有所改善。67.8%的受试者在2年时对自己的阴茎长度感到满意，77%的受试者感觉阴茎长度比手术前更长（30.8%）或相同（46.2%）。与阴茎植入手术前相比，64.3%和17.9%的受试者对阴茎长度的满意度分别有所提高和未改变。除一名受试者外（96.5%），所有受试者对其植入物总体功能均感到满意。这项研究表明，使用科洛普拉斯Titan假体并采用激进的圆柱体尺寸选择，以及术后阴茎康复充气方案，可以在植入后2年时优化患者满意度和阴茎勃起测量值。
