Department of Urology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Department of Urology, University of Alabama at Birmingham, Birmingham, AL, USA.
Curr Urol Rep. 2021 Feb 8;22(4):20. doi: 10.1007/s11934-021-01041-1.
To discuss mechanical and surgical innovations in inflatable penile prosthesis (IPP) surgery and their implications on reservoir placement and patient outcomes.
The past decade has seen a new emphasis on optimizing outcomes and minimizing complications associated with IPP reservoirs. Innovations in device design have accordingly yielded safer, more durable IPP outcomes over the past four decades. Modifications in surgical approach for reservoir placement abound for both traditional space of Retzius and ectopic reservoir placement techniques. Surgical and medical history, patient anatomy, and patient preference should all be considered when choosing approach for IPP reservoir placement. Prosthetic urologists should be proficient in multiple approaches to provide the best care to their patients.
讨论可膨胀阴茎假体(IPP)手术中的机械和外科创新及其对储液器放置和患者结局的影响。
过去十年,人们越来越重视优化 IPP 储液器相关的结局并最小化其并发症。因此,在过去的四十年中,设备设计的创新带来了更安全、更持久的 IPP 结局。无论是传统的 Retzius 间隙还是异位储液器放置技术,储液器放置的手术入路都有很多改进。在选择 IPP 储液器放置的方法时,应考虑手术和医学史、患者解剖结构和患者偏好。假体泌尿科医生应该精通多种方法,为患者提供最佳护理。