Duke University, Division of Urology, Durham, NC, USA.
Duke University, Division of Urology, Durham, NC, USA.
Sex Med Rev. 2019 Apr;7(2):360-368. doi: 10.1016/j.sxmr.2018.06.003. Epub 2018 Aug 2.
The relative infrequency of urethral injuries during penile prosthesis implantation has caused the event to be understudied relative to the morbidity and cost associated with their management.
To draw attention to both acute intraoperative and delayed urethral injuries via cylinder erosion by compiling and evaluating the available literature on their cause, diagnosis, and management.
A literature review was performed through PubMed from 1985 to 2018 regarding urethral injuries in the setting of penile prosthesis implantation. Comorbidities and anatomic factors that predispose a patient to a urethral injury were also queried.
The goal is to identify at-risk populations and assess options for managing distal, mid-pendulous, and proximal acute urethral injuries that occur in the setting of penile prosthesis implantation. We also examine strategies to manage prosthesis erosion into the urethra.
Although urethral injuries are rare, certain patient populations are at higher risk for the event. Injuries at various locations along the urethra present unique challenging and morbid clinical scenarios. However, there are a variety of management options available that allow a patient to ultimately void normally and have a successfully implanted penile prosthesis.
Overall, penile prostheses offer many patients an improved sexual quality of life. In the setting of prosthesis implantation both acute and delayed urethral injuries are rare, but their associated morbidity can undercut the benefits of the device. Our understanding of these injuries has matured, and we now possess management strategies that can mitigate the morbidity and frustration that accompany this complication. Carlos EC, Sexton SJ, Lentz AC. Urethral injury and the penile prosthesis. Sex Med Rev 2019;7:360-368.
由于阴茎假体植入术中尿道损伤相对少见，与尿道损伤相关的发病率和治疗费用相比，其研究相对较少。
通过综合评估有关尿道损伤的病因、诊断和处理的现有文献，引起人们对术中急性和迟发性因假体筒侵蚀导致的尿道损伤的关注。
通过 PubMed 数据库对 1985 年至 2018 年期间与阴茎假体植入术中尿道损伤相关的文献进行回顾。同时还对易导致尿道损伤的合并症和解剖因素进行了查询。
确定易发生尿道损伤的高危人群，并评估处理阴茎假体植入术中发生的远端、中段和近端急性尿道损伤的方法。我们还研究了处理假体筒侵蚀入尿道的策略。
尽管尿道损伤很少见，但某些特定患者群体发生该事件的风险更高。尿道不同部位的损伤会出现独特的具有挑战性的和严重的临床情况。然而，有多种处理选择可使患者最终正常排尿并成功植入阴茎假体。
总的来说，阴茎假体为许多患者提供了更高的生活质量。在假体植入术中，急性和迟发性尿道损伤都很少见，但它们相关的发病率会削弱该设备的益处。我们对这些损伤的认识已经成熟，现在我们拥有管理策略，可以减轻这种并发症带来的发病率和挫败感。Carlos EC, Sexton SJ, Lentz AC. Urethral injury and the penile prosthesis. Sex Med Rev 2019;7:360-368.
