Stanisic T H, Dean J C
University of Arizona Health Sciences Center, Tucson.
Urol Clin North Am. 1989 Feb;16(1):39-49.
Our experience with 45 recipients of the Flexi-Flate and Flexi-Flate II prostheses leads us to the following conclusions: 1. The device is readily implantable in approximately 1 hour with techniques familiar to most urologists who have implanted rigid or semirigid rods. 2. With attention to detail, prosthesis sizing is straightforward using intraoperative determination of corporeal girth and total corporeal length. We were unable reliably to predict prosthesis size preoperatively. Hence, as with other inflatable prostheses, we recommend that an entire range of prosthesis sizes be available at implantation. 3. Mechanical reliability is similar to that of more complex inflatable devices. The mechanical malfunction rate has been 11.6 per cent over a 15.1-month follow-up. 4. Patients find the inflation-deflation mechanisms easy to master. 5. Spontaneous deflation does occur during intercourse in some instances, but most patients are able to adjust sexual techniques and position satisfactorily with minimal disruption of enjoyment for themselves and their partners. 6. Among individuals with functional prostheses, a detailed survey of patient and partner response postoperatively revealed a high level of satisfaction for both and a return to premorbid levels of sexual functioning. Concealability was good in the flaccid state, and patients report minimal difficulties or embarassment with everyday functions in public restrooms and shower situations.
我们对45位使用Flexi - Flate和Flexi - Flate II假体的患者的经验得出以下结论：1. 对于大多数植入过刚性或半刚性阴茎假体的泌尿科医生来说，使用熟悉的技术，该装置在大约1小时内即可轻松植入。2. 注重细节的话，通过术中测量阴茎周长和阴茎总长度来确定假体尺寸很简单。我们术前无法可靠地预测假体尺寸。因此，与其他可膨胀阴茎假体一样，我们建议植入时备有全系列的假体尺寸。3. 机械可靠性与更复杂的可膨胀装置相似。在15.1个月的随访中，机械故障率为11.6%。4. 患者发现充放气机制易于掌握。5. 在某些性交过程中确实会发生自发放气，但大多数患者能够令人满意地调整性交技巧和姿势，对自己和伴侣的性快感干扰最小。6. 在有功能正常假体的患者中，一项对患者及其伴侣术后反应的详细调查显示双方满意度都很高，性功能恢复到病前水平。疲软状态下的隐蔽性良好，患者表示在公共卫生间和淋浴场合进行日常活动时几乎没有困难或尴尬。
