Department of Urology, University of California, Irvine Medical Center, Orange, CA 92868, USA.
Asian J Androl. 2020 Jan-Feb;22(1):8-14. doi: 10.4103/aja.aja_92_19.
Penile prosthesis implantation is the gold standard of surgical therapy for patients with medication-refractory erectile dysfunction. However, this umbrella definition includes significant heterogeneity and associated risk profiles that should be candidly discussed and addressed perioperatively. Factors associated with operative success and patient satisfaction are often surgery specific; however, risk profiling via patient selection, preoperative optimization, proper device selection, and intraoperative consideration are highly correlated. Some examples of common risk profiles include comorbidity(ies) such as cardiovascular disease, diabetes mellitus, prior abdominal surgery, Peyronie's disease, and psychological risk factors. Similarly, integration of surgeon- and patient-amenable characteristics is key to decreasing risk of infection, complication, and need for revision. Finally, patient risk profiling provides a unique context for proper device selection and evidence-based intraoperative considerations.
阴茎假体植入术是药物难治性勃起功能障碍患者的手术治疗金标准。然而，这个伞式定义包括显著的异质性和相关的风险特征，这些特征应该在围手术期坦诚地讨论和解决。与手术成功和患者满意度相关的因素通常与手术特异性相关；然而，通过患者选择、术前优化、适当的设备选择和术中考虑进行风险分析高度相关。一些常见的风险特征的例子包括合并症（如心血管疾病、糖尿病、既往腹部手术、 Peyronie 病和心理风险因素）。同样，整合外科医生和患者可接受的特征是降低感染、并发症和需要修正的风险的关键。最后，患者风险分析为适当的设备选择和基于证据的术中考虑提供了独特的背景。
