van Renterghem Koenraad, Jacobs Brecht, Yafi Faysal, Osmonov Daniar, Ralph David, Venturino Luca, Barnard John Taylor, Ziegelmann Matthew, Wang Run, Kannady Chris, Lentz Aaron, Garcia Enrique Lledo, Andrianne Robert, Bettochi Carlo, Hatzichristodoulou George, Gross Martin, Faix Antoine, Otero Javier Romero, Salamanca Juan Ignacio Martinez, Sedigh Omidreza, Albersen Maarten, Dinkelman-Smit Marij, Mykoniatis Ioannis
Jessa Hospital, Hasselt, Belgium.
University Hospitals Leuven, Leuven, Belgium.
Int J Impot Res. 2022 Apr;34(3):302-307. doi: 10.1038/s41443-021-00431-w. Epub 2021 Apr 12.
Literature concerning corporotomy location in multicomponent inflatable penile prosthetic surgery via a penoscrotal approach is scarce if not nonexistent. Aim of our study was to report practices in low-, moderate-, and high-volume penile implant centers regarding corporotomy location and evaluate its potential impact on intraoperative and short-term postoperative complications. Data from 18 (13 European and 5 American) implant centers were collected retrospectively between September 1st, 2018 and August 31st, 2019. Variables included: intraoperative proximal and distal corpus cavernosum length measurement, total corporal length measurement, total penile implant cylinder length, and length of rear tip extenders. Eight hundred and nine virgin penile implant cases were included in the analysis. Mean age of participants was 61.5 ± 9.6 years old. In total, 299 AMS 700™ (Boston Scientific, USA) and 510 Coloplast Titan® (Minneapolis, MN USA) devices were implanted. The mean proximal/distal corporal measurement ratio during corporotomy was 0.93 ± 0.29 while no statistical difference was found among low-, moderate-, and high-volume penile implant centers. A statistically significant correlation between lower proximal/distal measurement ratio and higher age (p = 0.0013), lower BMI (p < 0.0001), lower use of rear tip extenders (RTE) (p = 0.04), lower RTE length (p < 0.0001), and absence of diabetes (p = 0.0004) was reported. In a 3-month follow up period, 49 complications and 37 revision procedures were reported. This is the first study reporting the current practices regarding corporotomy location during IPP placement in a multicenter cohort, particularly when including such a high number of patients. Nevertheless, the retrospective design and the short follow up period limits the study outcomes. Corporotomy location during penoscrotal IPP implantation does not correlate with intraoperative or short-term postoperative complication rates. Future studies with longer follow up are needed in order to evaluate the association of corporotomy location with long-term complications.
关于经阴囊入路的多部件可膨胀阴茎假体手术中阴茎海绵体切开位置的文献即便不是不存在，也是稀缺的。我们研究的目的是报告低、中、高手术量阴茎植入中心在阴茎海绵体切开位置方面的做法，并评估其对术中及术后短期并发症的潜在影响。2018年9月1日至2019年8月31日期间，我们回顾性收集了来自18个（13个欧洲和5个美国）植入中心的数据。变量包括：术中阴茎海绵体近端和远端长度测量、阴茎海绵体总长度测量、阴茎假体总圆柱长度以及后尖端延长器长度。分析纳入了809例初次阴茎植入病例。参与者的平均年龄为61.5±9.6岁。总共植入了299个AMS 700™（美国波士顿科学公司）和510个科洛普拉斯泰坦®（美国明尼阿波利斯，明尼苏达州）装置。阴茎海绵体切开术中近端/远端阴茎海绵体测量比值的平均值为0.93±0.29，而在低、中、高手术量阴茎植入中心之间未发现统计学差异。报告显示，较低的近端/远端测量比值与较高年龄（p = 0.0013）、较低体重指数（p < 0.0001）、较少使用后尖端延长器（RTE）（p = 0.04）、较短的RTE长度（p < 0.0001）以及无糖尿病（p = 0.0004）之间存在统计学显著相关性。在3个月的随访期内，报告了49例并发症和37例翻修手术。这是第一项报告多中心队列中阴茎假体植入期间阴茎海绵体切开位置当前做法的研究，尤其是纳入了如此大量患者的情况。然而，回顾性设计和较短的随访期限制了研究结果。经阴囊阴茎假体植入术中阴茎海绵体切开位置与术中或术后短期并发症发生率无关。需要进行更长随访期的未来研究，以评估阴茎海绵体切开位置与长期并发症之间的关联。
