University of Texas McGovern Medical School at Houston, 6431 Fannin Street, MSB 6.018, Houston, TX, 77030, USA.
University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX, 77030, USA.
Curr Urol Rep. 2021 Feb 3;22(3):16. doi: 10.1007/s11934-021-01032-2.
The goal of this paper is to understand the reasons behind penile length and girth issues after penile prosthesis surgery and review the literature for current strategies employed to decrease these issues.
Measurement inconsistencies triggering further studies have shown there is a real loss of penile length and girth after prosthesis surgery. There have been varying hypotheses of why this happens, and numerous approaches have been proposed to help combat this in the preoperative, intraoperative, and postoperative settings. Erectile dysfunction prevalence is expected to increase; therefore it is important for urologists to understand the treatment options, including prosthesis surgery. Numerous techniques have been hypothesized and studied in smaller settings in the preoperative, intraoperative, and postoperative settings with regard to prosthetics surgery. However, larger studies are still needed to confirm these findings in order to help to counsel and educate patients preoperatively in addition to employing tactics to help minimize penile shortening.
本文旨在探讨阴茎假体手术后阴茎长度和周长问题的原因，并对现有减少这些问题的策略进行文献回顾。
引发进一步研究的测量不一致性表明，假体手术后确实存在阴茎长度和周长的损失。对于为什么会发生这种情况，有不同的假设，并且已经提出了许多方法来帮助在术前、术中及术后解决这个问题。预计勃起功能障碍的患病率将会增加；因此，泌尿科医生了解治疗选择，包括假体手术，这一点很重要。在假体手术的术前、术中及术后环境中，已经假设并研究了许多技术，但仍需要更大规模的研究来证实这些发现，以便在术前帮助向患者提供咨询和教育，并采取策略来帮助尽量减少阴茎缩短。
