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可膨胀阴茎假体手术后的龟头缺血

Glans ischemia following inflatable penile prosthesis surgery.

作者信息

Hebert Kevin J, Kohler Tobias S

机构信息

Department of Urology, Mayo Clinic, Rochester, MN, USA.

出版信息

Transl Androl Urol. 2020 Apr;9(2):824-827. doi: 10.21037/tau.2020.01.04.

DOI:10.21037/tau.2020.01.04
PMID:32420191
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7215035/
Abstract

We present a case report of acute glans ischemia in a patient with significant vascular comorbidities following insertion of an inflatable penile prosthesis for erectile dysfunction. In this report, we pictorially display the physical exam findings that led to prompt diagnosis and discuss the importance of early device explantation (within 24 hours) to prevent glandular tissue loss.

摘要

我们报告一例患有严重血管合并症的患者，在植入用于治疗勃起功能障碍的可膨胀阴茎假体后发生急性龟头缺血的病例。在本报告中，我们以图片形式展示了有助于快速诊断的体格检查结果，并讨论了早期（24小时内）取出装置以防止腺体组织丧失的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c67/7215035/372fbdd5a7fb/tau-09-02-824-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c67/7215035/80782fa2d432/tau-09-02-824-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c67/7215035/372fbdd5a7fb/tau-09-02-824-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c67/7215035/80782fa2d432/tau-09-02-824-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c67/7215035/372fbdd5a7fb/tau-09-02-824-f2.jpg

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本文引用的文献

1
Acute Post-Inflatable Penile Prosthesis Glans Ischemia: Review of Incidence, Pathophysiology, and Management Recommendations.急性充气式阴茎假体龟头缺血：发病率、病理生理学及管理建议综述
J Sex Med. 2019 Jan;16(1):1-4. doi: 10.1016/j.jsxm.2018.10.017. Epub 2018 Dec 1.
2
Glans Necrosis Following Penile Prosthesis Implantation: Prevention and Treatment Suggestions.阴茎假体植入术后龟头坏死：预防与治疗建议
Urology. 2017 Sep;107:144-148. doi: 10.1016/j.urology.2017.06.020. Epub 2017 Jun 23.
3
Ischemic Gangrene of the Glans following Penile Prosthesis Implantation.
Penile implant surgery-managing complications.
阴茎植入手术——并发症处理
Fac Rev. 2021 Sep 24;10:73. doi: 10.12703/r/10-73. eCollection 2021.
阴茎假体植入术后龟头缺血性坏疽
Case Rep Urol. 2013;2013:323574. doi: 10.1155/2013/323574. Epub 2013 Jul 11.
4
The Henry mummy wrap and the Henry finger sweep surgical techniques.亨利木乃伊包扎法和亨利手指清扫术式
J Sex Med. 2009 Mar;6(3):619-22. doi: 10.1111/j.1743-6109.2008.01200.x.
5
Gangrene of the penis after implantation of penile prosthesis: case reports, treatment recommendations and review of the literature.阴茎假体植入术后阴茎坏疽：病例报告、治疗建议及文献综述
J Urol. 1993 Jul;150(1):190-1; discussion 191-2. doi: 10.1016/s0022-5347(17)35433-2.
6
Major complications of silicone penile prosthesis: predisposing clinical situations.硅橡胶阴茎假体的主要并发症：诱发临床情况。
Urology. 1980 Feb;15(2):131-3. doi: 10.1016/0090-4295(80)90403-3.