Department of General Surgery, Division of Urology, Rush University Medical Center, Chicago, IL, USA.
Department of General Surgery, Division of Urology, Rush University Medical Center, Chicago, IL, USA.
J Sex Med. 2018 Mar;15(3):410-415. doi: 10.1016/j.jsxm.2017.12.010. Epub 2018 Jan 12.
Currently the Ambicor is the only 2-piece inflatable penile prosthesis (IPP) available in the United States. By eliminating the separate reservoir, this provides certain advantages for patient and surgeon. Nevertheless, it composes a small percentage of all IPPs implanted in the United States.
To detail the surgical technique for implantation, describe the ideal patient candidates best suited for the Ambicor, and discuss the most common and some rare complications with a review of the available published literature in combination with our clinical experience.
A PubMed literature search was performed to obtain all peer-reviewed articles published in English specifically on the Ambicor 2-piece IPP. We also reviewed our clinical experience with the Ambicor during the past 2 decades.
The published data remain limited, because few articles on the Ambicor have been published in the past 10 years. Overall complication rates were 2.1% to 9.5%. Patient satisfaction rates were 75% to 96.4%, with similar partner satisfaction rates. Relative contraindications for implantation include patients with significant penile deformities, long narrow phalluses, or short phalluses.
Despite the limited available published data with short follow-up periods, this review provides a comprehensive discussion on the technical aspects and relevant perioperative counseling recommended for Ambicor implantation.
The prosthetic urologist should offer the Ambicor 2-piece IPP to patients with erectile dysfunction whose non-surgical treatment has failed. Certain implanters might want to avoid the blind retropubic reservoir placement that occurs with 3-piece IPPs and might not be comfortable with an ectopic approach and therefore prefer using a 2-piece device. We believe the ideal Ambicor candidate is a patient with a current or future pelvic organ transplant, decreased manual dexterity, in need of complete phallic reconstruction, or with known extensive prior abdominopelvic surgery. Abdelsayed GA, Levine LA. Ambicor 2-Piece Inflatable Penile Prosthesis: Who and How? J Sex Med 2018;15:410-415.
目前，Ambicor 是美国唯一可用的 2 件式可充气阴茎假体（IPP）。通过消除单独的储液器，这为患者和外科医生提供了某些优势。然而，它在美国植入的所有 IPP 中只占很小的比例。
详细介绍植入手术技术，描述最适合 Ambicor 的理想患者，讨论最常见和一些罕见的并发症，并结合我们的临床经验回顾已发表的文献。
进行了 PubMed 文献检索，以获取专门针对 Ambicor 2 件式 IPP 的所有已发表的英文同行评审文章。我们还回顾了过去 20 年来我们使用 Ambicor 的临床经验。
已发表的数据仍然有限，因为过去 10 年发表的关于 Ambicor 的文章很少。总体并发症发生率为 2.1%至 9.5%。患者满意度为 75%至 96.4%，伴侣满意度相似。植入的相对禁忌症包括有明显阴茎畸形、长而窄的阴茎或短阴茎的患者。
尽管可用的已发表数据有限，随访时间短，但本综述提供了对 Ambicor 植入技术方面的全面讨论，并就相关围手术期咨询提出了建议。
对非手术治疗失败的勃起功能障碍患者，泌尿科假体植入医生应提供 Ambicor 2 件式 IPP。某些植入者可能希望避免 3 件式 IPP 中发生的盲目耻骨后储液器放置，并且可能不适应异位方法，因此更喜欢使用 2 件式设备。我们认为理想的 Ambicor 候选者是当前或未来需要进行盆腔器官移植、手部灵巧度降低、需要完全阴茎重建或已知广泛既往腹盆腔手术的患者。
