阴茎假体植入受者预防并发症的最佳方法的最新进展。
An update on the best approaches to prevent complications in penile prosthesis recipients.
作者信息
Krzastek Sarah C, Smith Ryan
机构信息
Department of Urology, University of Virginia School of Medicine, Charlottesville, VA, USA.
Department of Urology, University of Virginia School of Medicine, Charlottesville, VA 22908-0422, USA.
出版信息
Ther Adv Urol. 2019 Jan 8;11:1756287218818076. doi: 10.1177/1756287218818076. eCollection 2019 Jan-Dec.
Abstract
Placement of inflatable penile prosthesis is a procedure frequently performed for medication-refractory erectile dysfunction. Device implantation is not without risks, and as the frequency of device implantation increases, so do associated complications. The aim of this work is to review the most frequent operative complications associated with implantation of inflatable penile prostheses, and to review the best approaches to prevent these most common complications. Complications can broadly be categorized as infectious, noninfectious tissue-related, device-related, or related to patient and partner satisfaction. With understanding of these complications and ways to avoid them, as well as with appropriate patient selection and counseling, the inflatable penile prosthesis is an excellent option for the treatment of erectile dysfunction.
摘要
可膨胀阴茎假体植入是治疗药物难治性勃起功能障碍的常见手术。设备植入并非没有风险，而且随着设备植入频率的增加，相关并发症也会增加。这项工作的目的是回顾与可膨胀阴茎假体植入相关的最常见手术并发症，并探讨预防这些最常见并发症的最佳方法。并发症大致可分为感染性、非感染性组织相关、设备相关或与患者及伴侣满意度相关。了解这些并发症及其避免方法，以及进行适当的患者选择和咨询后，可膨胀阴茎假体是治疗勃起功能障碍的绝佳选择。
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本文引用的文献
1
Urethral Injury and the Penile Prosthesis.
Sex Med Rev. 2019 Apr;7(2):360-368. doi: 10.1016/j.sxmr.2018.06.003. Epub 2018 Aug 2.
2
Penile Prosthesis Complications: Planning, Prevention, and Decision Making.
Sex Med Rev. 2019 Apr;7(2):349-359. doi: 10.1016/j.sxmr.2018.04.002. Epub 2018 Jul 19.
3
Infection Prevention Strategies Prior to Penile Implant Surgery.
Eur Urol Focus. 2018 Apr;4(3):317-320. doi: 10.1016/j.euf.2018.07.002. Epub 2018 Jul 13.
4
Predictors of Satisfaction in Men After Penile Implant Surgery.
J Sex Med. 2018 Aug;15(8):1180-1186. doi: 10.1016/j.jsxm.2018.05.011. Epub 2018 Jul 13.
5
Inflatable Penile Prostheses Implantation: Does Antibiotic Exposure Matter?
Sex Med. 2018 Sep;6(3):248-254. doi: 10.1016/j.esxm.2018.05.004. Epub 2018 Jul 13.
6
Biomechanical Comparison of Inflatable Penile Implants: A Cadaveric Pilot Study.
J Sex Med. 2018 Jul;15(7):1034-1040. doi: 10.1016/j.jsxm.2018.05.014.
7
Satisfaction rate at 1-year follow-up in patients treated with penile implants: data from the multicentre prospective registry INSIST-ED.
BJU Int. 2019 Feb;123(2):360-366. doi: 10.1111/bju.14462. Epub 2018 Jul 20.
8
Infection risk of undergoing multiple penile prostheses: an analysis of referred patient surgical histories.
Int J Impot Res. 2018 Aug;30(4):147-152. doi: 10.1038/s41443-018-0026-6. Epub 2018 May 25.
9
Erectile Dysfunction: AUA Guideline.
J Urol. 2018 Sep;200(3):633-641. doi: 10.1016/j.juro.2018.05.004. Epub 2018 May 7.
10
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Sex Med Rev. 2018 Oct;6(4):631-639. doi: 10.1016/j.sxmr.2018.03.007. Epub 2018 May 2.
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