Division of Urology, Rush University Medical Center, Chicago, IL, USA.
Rush Medical College, Rush University Medical Center, Chicago, IL, USA.
Expert Rev Med Devices. 2021 Jan;18(1):9-14. doi: 10.1080/17434440.2021.1853524. Epub 2020 Dec 1.
: Erectile dysfunction is one of the most common forms of male sexual dysfunction worldwide. Over the past several decades, the inflatable penile prosthesis has emerged as the gold standard surgical treatment for refractory erectile dysfunction. The vast majority of current penile implants are three-piece inflatable penile prostheses. However, the design of the two-piece inflatable penile prosthesis offers certain advantages for both the patient and surgeon, and may be the preferred penile implant for certain patient populations.: The Ambicor two-piece inflatable penile prosthesis (Men's Health Division, Boston Scientific, Marlborough, MA, USA) was introduced in 1994 by American Medical Systems (Minnetonka, MN, USA, now a subsidiary of Boston Scientific) and received further design improvements in 1998 to address early mechanical issues with the device. Currently, the Ambicor is the only two-piece inflatable penile prosthesis available in the United States. This review article aims to provide an overview of the Ambicor device and summarize the best available clinical data regarding outcomes and safety.: While two-piece devices account for a small minority of current penile implants, the Ambicor should be considered a safe, reliable, and effective option for appropriately selected patients with the advantage of avoiding blind reservoir placement.
勃起功能障碍是全球男性最常见的性功能障碍之一。在过去的几十年中,可充胀阴茎假体已成为治疗难治性勃起功能障碍的金标准手术治疗方法。目前绝大多数阴茎植入物都是三件式可充胀阴茎假体。然而,两件式可充胀阴茎假体的设计为患者和外科医生都提供了某些优势,并且对于某些特定患者群体,它可能是首选的阴茎植入物。
1994 年,美国医学系统公司(American Medical Systems,明尼苏达州米尼奥拉,现隶属于波士顿科学公司)推出了 Ambicor 两件式可充胀阴茎假体(Men's Health Division,Boston Scientific,马萨诸塞州马尔伯勒),并于 1998 年对该设备进行了进一步的设计改进,以解决早期的机械问题。目前,Ambicor 是美国唯一可用的两件式可充胀阴茎假体。本文旨在概述 Ambicor 装置,并总结有关其结果和安全性的最佳临床数据。
尽管两件式装置占当前阴茎植入物的一小部分,但对于适当选择的患者来说,Ambicor 是一种安全、可靠且有效的选择,其优势在于避免了盲目放置储液器。