Treiber U, Gilbert P
Department of Urology, Military Hospital, Ulm, West Germany.
Urology. 1989 Jul;34(1):22-7. doi: 10.1016/0090-4295(89)90150-7.
From June, 1985, to December, 1987, we operated on 116 impotent patients suffering from venous incompetence of the cavernous bodies. A total of 115 patients underwent ligation of the deep dorsal vein of the penis. After a mean follow-up of 12.9 months, 67 patients (58.3%) were still able to obtain satisfactory erections. In 39 cases (33.9%), however, adjuvant corpus cavernosum autoinjection therapy was necessary. Eleven patients were submitted to spongiosolysis after ligation of the deep dorsal penile vein because of a distal venous leakage, consisting of venous shunts between the corpora cavernosa and the corpus spongiosum. After a mean follow-up of 14.2 months, 9 patients (81.8%) reported excellent penile rigidity; 5 of these patients, however, needed corpus cavernosum autoinjection therapy to maintain erectile function. One patient with ectopic veins emerging from the right crus of the penis was operated on successfully from a perineal approach. Serious complications did not occur in any of the patients. Despite the recurrence rate of 13 percent, venous surgery is an effective treatment for most patients concerned and offers a more physiologic erectile function than can be achieved by implantation of a penile prosthesis.
从1985年6月至1987年12月，我们对116例患有海绵体静脉功能不全的阳痿患者进行了手术。共有115例患者接受了阴茎背深静脉结扎术。平均随访12.9个月后，67例患者（58.3%）仍能获得满意的勃起功能。然而，在39例患者（33.9%）中，辅助性海绵体自体注射治疗是必要的。11例患者在阴茎背深静脉结扎术后因远端静脉漏（即海绵体与海绵体之间的静脉分流）接受了海绵体松解术。平均随访14.2个月后，9例患者（81.8%）报告阴茎硬度极佳；然而，其中5例患者需要海绵体自体注射治疗来维持勃起功能。1例阴茎右侧脚出现异位静脉的患者经会阴入路手术成功。所有患者均未发生严重并发症。尽管复发率为13%，但静脉手术对大多数相关患者而言是一种有效的治疗方法，并且与阴茎假体植入相比，能提供更接近生理状态的勃起功能。
