Fang Andrew, Wang Run
Division of Urology, University of Texas McGovern Medical School, Houston, Texas 77030, USA.
Department of Urology, University of Texas MD Anderson Cancer Center, Houston, Texas 77030, USA.
Asian J Androl. 2018 Jan-Feb;20(1):90-92. doi: 10.4103/aja.aja_42_17.
A circumcising incision to deglove the penis for penile prosthesis (PP) implantation can increase the risk of ischemic injury to the glans penis. In order to avoid vascular complications, we describe a novel technique utilizing a ventral incision to perform the PP implantation and a double-dorsal patch graft, or “sliding technique” (ST), in patients with severe Peyronie's disease (PD). Three patients with severe PD and erectile dysfunction at our institution underwent ST and PP implantation through a ventral incision. This new approach was not only successful in facilitating the ST and PP implantation in these patients but also allowed for adequate exposure of the penile shaft with no reported loss of sensation. We also conducted a review of current literature regarding the approaches for PD. While ischemic complications of PP implantation and ST are rare, there are reports of ischemic injury in patients undergoing a circumcising incision. The combination of a circumcising incision and a patient's underlying peripheral artery disease potentially raises a patient's risk of this rare complication. Our innovative ventral incision provides an alternative method for PP implantation and ST in order to avoid ischemia of the penis, while still allowing for adequate exposure.
为阴茎假体（PP）植入而进行的阴茎脱套环切切口会增加阴茎头缺血性损伤的风险。为避免血管并发症，我们描述了一种新技术，即在患有严重佩罗尼氏病（PD）的患者中，利用腹侧切口进行PP植入和双背侧补片移植，即“滑动技术”（ST）。我们机构的三名患有严重PD和勃起功能障碍的患者通过腹侧切口接受了ST和PP植入。这种新方法不仅成功地在这些患者中实施了ST和PP植入，还能充分暴露阴茎体且未报告感觉丧失。我们还对当前有关PD治疗方法的文献进行了综述。虽然PP植入和ST的缺血性并发症很少见，但有报告称接受环切切口的患者出现了缺血性损伤。环切切口与患者潜在的外周动脉疾病相结合可能会增加患者发生这种罕见并发症的风险。我们创新的腹侧切口为PP植入和ST提供了一种替代方法，以避免阴茎缺血，同时仍能充分暴露。
