阴茎假体植入术：单中心 25 年经验。

Penile prosthesis implantation: A single center 25 years of experience.

机构信息

Gülhane Training and Research Hospital, Department of Urology, 06010 Etlik, Ankara, Turkey.

出版信息

Prog Urol. 2021 Sep;31(11):663-670. doi: 10.1016/j.purol.2021.06.002. Epub 2021 Jun 29.

DOI:10.1016/j.purol.2021.06.002

PMID:34215514

Abstract

OBJECTIVES

We analyzed the long-term results of malleable and inflatable penile prosthesis: the rates of complications, revision surgery and patient satisfaction.

MATERIALS AND METHODS

Between January 1996 and December 2020, a total of 138 patients underwent implantation of a malleable or inflatable types penile prosthesis. The data of the patients were derived from the patient files and digital recording system. The patients were contacted face-to-face interaction if possible. If it is not possible, phone connection was made.

RESULTS

The median age of patients was 56 (21-83) years. Fourteen (10.2%) 1-piece, 46 (33.3%) 2-piece and 78 (56.5%) 3-piece penile prosthesis were implanted. The mostly used perioperative antibiotic was teicoplanin+amikacin in 107 patients. Total complication rate was 30% (n=42). Prosthesis infection constituted 9% (n=13) of these complications. The total satisfaction rate was 89.1%. There was no correlation between the complications and antibiotic regimen or prosthesis type (P=0.488, P=0.454, respectively). The rate of infection showed a slight increase in 3-piece penile prosthesis without any statistically significance (P=0.633). The patients with complications expressed more dissatisfaction compared to those without complications (P=0.001).

CONCLUSIONS

In our series, penile prosthesis implantation seems to be a recommended treatment method with high patient satisfaction in the treatment of refractory erectile dysfunction.

LEVEL OF EVIDENCE

摘要

目的

我们分析了可屈性和可膨胀性 penile 假体的长期结果：并发症、翻修手术和患者满意度的发生率。

材料与方法

1996 年 1 月至 2020 年 12 月期间，共有 138 例患者接受了可屈性或可膨胀性 penile 假体植入术。患者数据来源于患者档案和数字记录系统。如果可能，我们会与患者进行面对面的交流；如果不可能，我们会通过电话联系。

结果

患者的中位年龄为 56（21-83）岁。植入 1 件式假体的患者 14 例（10.2%），2 件式假体的患者 46 例（33.3%），3 件式假体的患者 78 例（56.5%）。107 例患者围手术期使用的抗生素主要为替考拉宁+阿米卡星。总并发症发生率为 30%（n=42）。这些并发症中，假体感染占 9%（n=13）。总满意度为 89.1%。并发症与抗生素方案或假体类型之间无相关性（P=0.488，P=0.454）。3 件式 penile 假体的感染率略有增加，但无统计学意义（P=0.633）。与无并发症的患者相比，有并发症的患者表达了更多的不满（P=0.001）。