Goldstein I
New England Male Reproductive Center, University Hospital, Boston, Massachusetts.
Urol Clin North Am. 1987 Nov;14(4):805-13.
Penile revascularization surgery has dramatically improved the lives of many young patients who otherwise had to consider prosthetic options for treatment of their erectile dysfunction. Nonetheless, it appears that only few patients with erectile impotence are truly excellent candidates. Dynamic infusion cavernosometry and cavernosography studies reveal that corporal leakage syndrome exists in more than 80 per cent with organic erectile dysfunction. As the pathophysiology of corporal leakage syndrome is better appreciated, the role for penile reconstructive surgery will become more obvious. It may be realized that most patients with corporal leakage syndrome will be treated medically with intracavernosal pharmacotherapy. In these cases, reconstructive surgery may be utilized primarily to augment the pharmacologic erectile response.
阴茎血管重建手术极大地改善了许多年轻患者的生活，否则他们不得不考虑通过假体植入来治疗勃起功能障碍。然而，似乎只有少数勃起功能障碍患者才是真正理想的手术对象。动态海绵体测压和海绵体造影研究表明，超过80%的器质性勃起功能障碍患者存在海绵体漏血综合征。随着对海绵体漏血综合征病理生理学的深入了解，阴茎重建手术的作用将变得更加明显。可能会认识到，大多数海绵体漏血综合征患者将采用海绵体内药物治疗。在这些情况下，重建手术主要可用于增强药物性勃起反应。
