Pedersen B, Tiefer L, Ruiz M, Melman A
Division of Urology, Beth Israel Medical Center, New York, New York.
J Urol. 1988 May;139(5):956-8. doi: 10.1016/s0022-5347(17)42728-5.
One to 4 years after penile prosthesis implantation 52 men and 22 partners were interviewed personally. All except 4 patients were having intercourse on a regular basis. A quarter of the patients reported restriction in intercourse positions, possibly because of a smaller penis postoperatively, and 15 per cent reported decreased orgasm intensity. Six men had an undiagnosed prosthesis malfunction or they used an inadequate pumping technique, suggesting that prosthesis patients should be followed on a continuing basis. The 52 men had experienced 10 malfunctions with the prosthesis. Partial erections were reported by 69 per cent of the patients but this could be confirmed in only 1 of 10 with visual sexual stimulation testing. It is suggested that differences between prosthesis models are more a result of psychological, relationship and health factors than mechanical factors. Of the patients 79 per cent would undergo the operation again but only 59 per cent of the partners had no hesitations. The longer the postoperative period the more hesitations. A satisfaction score was used to measure patient satisfaction.
阴茎假体植入术后1至4年，对52名男性患者及其22名伴侣进行了个人访谈。除4名患者外，所有患者均有规律的性生活。四分之一的患者报告性交姿势受限，可能是因为术后阴茎变小，15%的患者报告性高潮强度降低。6名男性存在未确诊的假体故障或使用了不当的泵血技术，这表明应对假体患者进行持续随访。这52名男性共经历了10次假体故障。69%的患者报告有部分勃起，但在10名接受视觉性刺激测试的患者中，只有1例得到证实。研究表明，假体型号之间的差异更多是由心理、人际关系和健康因素导致的，而非机械因素。79%的患者愿意再次接受手术，但只有59%的伴侣没有顾虑。术后时间越长，顾虑越多。使用满意度评分来衡量患者的满意度。
