Schover L R
Center for Sexual Function, Cleveland Clinic Foundation, Ohio.
Urol Clin North Am. 1989 Feb;16(1):91-8.
In conclusion, the evidence for technical success of the penile prosthesis is clear, but more detailed follow-up studies suggest that a large minority of patients and partners fail to achieve sexual satisfaction. If the goal of surgery is to restore sexual frequency, variety, and pleasure to optimal levels, an integrated treatment program that incorporates sex therapy may be more successful than implantation alone. The type of sex therapy required depends on the risk factors present for postsurgery sexual dissatisfaction. A majority of patients can benefit from several sessions of brief sexual counseling preoperatively, with routine follow-up at 3 and 6 months after surgery to identify problems in resuming sex successfully. I also would point out that an integrated treatment approach is just as applicable to home intracavernosal injection programs. Including sex therapy in the package might reduce the large drop-out rates currently being seen and might decrease the risk of misuse of these medications.
总之，阴茎假体技术成功的证据是明确的，但更详细的随访研究表明，相当一部分患者及其伴侣未能实现性满足。如果手术的目标是将性频率、多样性和愉悦感恢复到最佳水平，那么结合性治疗的综合治疗方案可能比单纯植入手术更成功。所需的性治疗类型取决于术后性不满的现有风险因素。大多数患者可从术前几次简短的性咨询中受益，并在术后3个月和6个月进行常规随访，以确定成功恢复性生活中的问题。我还要指出，综合治疗方法同样适用于家庭海绵体内注射方案。在方案中纳入性治疗可能会降低目前出现的高退出率，并可能降低这些药物滥用的风险。
