Division of Urology, The University of Texas Health Science Center, Houston, TX 77030, USA.
MD Anderson Cancer Center, Houston, TX 77030, USA.
Asian J Androl. 2020 Sep-Oct;22(5):481-484. doi: 10.4103/aja.aja_123_19.
Penile rehabilitation after inflatable penile prosthesis (IPP) implantation for the treatment of erectile dysfunction includes leaving the device partially inflated so as to preserve the penile length and to maintain hemostasis. With a partially inflated device, the penis becomes more sensitive and more susceptible to unintended insults during the immediate postoperative management. The "Wang Collar," a device intended to protect the penis in the early postoperative period, is hereby described. Three hundred and forty-eight patients had the "Wang Collar" included as part of their post-IPP management from August 2014 to February 2019. The protective collar, devised from a polystyrene cup with the bottom removed, is secured with a tape over the previously dressed and partially inflated penis. In order to evaluate the effectiveness of this device, we conducted surveys on the perioperative staff at three different institutions. The "Wang Collar" has been found to be beneficial in the early postoperative care of patients. Based on the answers to our questionnaire, the perioperative personnel found this device to be highly protective, especially when transporting the patient after IPP surgery, easy to work with, and almost never bothersome or irritative to the patient. We present a novel penile device after IPP placement, which we have found to improve patient satisfaction in the postoperative period. In addition, it eases the care of the patient by the perioperative staff. It is now our routine to use this device after IPP surgery. Further research is necessary to evaluate whether this device can decrease postoperative wound complications.
阴茎假体植入术后的阴茎康复包括部分充气以保持阴茎长度和止血。在部分充气的情况下,阴茎在术后管理期间会变得更加敏感,更容易受到意外损伤。这里介绍一种用于保护阴茎的“Wang 领”。自 2014 年 8 月至 2019 年 2 月,348 例患者在接受 IPP 治疗后采用“Wang 领”进行术后管理。该保护套由一个底部切除的聚苯乙烯杯制成,用胶带固定在已包扎好且部分充气的阴茎上。为了评估该装置的有效性,我们对三家不同机构的围手术期医护人员进行了调查。结果发现,该装置在患者的早期术后护理中是有益的。根据我们的问卷回答,围手术期医护人员发现该装置非常具有保护性,尤其是在运送接受 IPP 手术后的患者时,操作方便,且几乎不会给患者带来困扰或不适。我们提出了一种新型的阴茎假体植入术后的阴茎保护装置,发现其可提高患者术后的满意度。此外,还可减轻围手术期医护人员对患者的护理负担。目前,我们在 IPP 手术后常规使用该装置。有必要进行进一步的研究以评估该装置是否可以降低术后伤口并发症的发生。