Department of Urology, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Department of Urology, MEC, Beverly Hills, CA, USA.
Int J Impot Res. 2020 May;32(3):317-322. doi: 10.1038/s41443-019-0174-3. Epub 2019 Aug 5.
We report a novel solution for patients suffering from adult acquired retractile penis. Three patients complained of retractile penis (when standing) and/or prepubic recession. Physical examination confirmed the shaft of the penis was buried with only the glans visible. All three patients reported lower levels of self-confidence, self-esteem, and sexual confidence prior to their procedure. The three patients received surgical treatment with the insertion of a subcutaneous soft silicone penile implant and two of the three also received removal of the suprapubic fat pad. Over one year post operatively, the penile shaft and glans was visible and appeared natural. All patients reported an increase in self-confidence and self-esteem. The insertion of a subcutaneous soft silicone penile implant may prove to be a viable solution to reverse retractile penis and to increase patient quality of life when compared to more invasive current surgical treatments.
我们报告了一种治疗成人获得性阴茎退缩症患者的新方法。三名患者抱怨阴茎退缩(站立时)和/或耻骨后缩。体格检查证实阴茎的杆部被埋藏,只有龟头可见。所有三名患者在手术前都报告了较低的自信心、自尊心和性自信。三名患者接受了皮下软硅胶阴茎植入物的手术治疗,其中两名患者还接受了耻骨上脂肪垫的切除。术后一年多,阴茎杆和龟头可见,外观自然。所有患者报告说自信心和自尊心都有所提高。与目前更具侵入性的手术治疗相比,皮下软硅胶阴茎植入物的插入可能是一种可行的解决方案,可以逆转阴茎退缩,并提高患者的生活质量。