Chung Eric
Department of Urology, Princess Alexandra Hospital, University of Queensland, Brisbane, QLD, Australia;; AndroUrology Centre, St Andrew's War Memorial Hospital, Brisbane, QLD, Australia.
Transl Androl Urol. 2017 Feb;6(1):37-45. doi: 10.21037/tau.2016.12.06.
Despite introduction of oral phosphodiesterase type 5 inhibitors and intracavernosal vasoactive agents, penile prosthesis implant remains a relevant and desired option with sales of penile prostheses continue to stay high, as many men became refractory to medical therapy and/or seeking a more effective and permanent therapy. There are two types of penile prosthesis implants: inflatable and non-inflatable types, and the inflatable penile implants can be subdivided into single-, two- and three-piece devices. Non-inflatable penile prosthesis (non-IPP) may be referred to as semi-rigid rod or malleable prosthesis. IPP is considered a superior option to malleable prosthesis as it produces penile rigidity and flaccidity that closely replicates a normal penile erectile function. Since the introduction of IPP by Scott in 1973, surgical landscape for penile prosthesis implantation has changed dramatically. Advances in prosthesis design, device technologies and surgical techniques have made penile prosthesis implant a more natural, durable and reliable device. The following article reviews the scientific advances and technological innovation in modern penile prosthesis implants over the last four decades.
尽管已经引入了口服5型磷酸二酯酶抑制剂和海绵体内血管活性药物，但阴茎假体植入仍然是一种重要且受欢迎的选择，阴茎假体的销量持续居高不下，因为许多男性对药物治疗产生了耐药性和/或寻求更有效、更持久的治疗方法。阴茎假体植入有两种类型：可膨胀型和不可膨胀型，可膨胀阴茎植入物可细分为单件式、两件式和三件式装置。不可膨胀阴茎假体（non-IPP）可称为半刚性杆或可塑假体。可膨胀阴茎假体（IPP）被认为是比可塑假体更好的选择，因为它能产生与正常阴茎勃起功能非常相似的阴茎硬度和疲软状态。自1973年斯科特引入IPP以来，阴茎假体植入的手术情况发生了巨大变化。假体设计、设备技术和手术技术的进步使阴茎假体植入成为一种更自然、耐用和可靠的装置。以下文章回顾了过去四十年来现代阴茎假体植入的科学进展和技术创新。
