Department of Urology, Russell's Hall Hospital, DGFT, Dudley, UK.
Department of Urology, Nottingham University Hospitals, Nottingham, UK.
Nat Rev Urol. 2022 Feb;19(2):84-100. doi: 10.1038/s41585-021-00532-7. Epub 2021 Nov 11.
A variety of devices are available for the management of patients with erectile dysfunction, Peyronie's disease, penile dysmorphophobia, for support before and after penile prosthesis insertion, and after radical prostatectomy. Traction devices include, but are not limited to, Penimaster PRO (MSP Concept, Berlin, Germany), Andropenis and Andropeyronie (Andromedical, Madrid, Spain), and the Restorex (PathRight Medical, Plymouth, USA). The other type of devices are vacuum devices such the Osbon ErecAid (Timm Medical, MN, USA). Different devices are optimal for different clinical applications, and robust and contemporary clinical data show a variety of strengths and weaknesses for each device. Research currently favours the use of traction devices for improvement of penile curvature and erectile function in patients with Peyronie's disease compared with vacuum devices; Penimaster Pro and Restorex have been shown to be associated with the best outcomes in this indication. Vacuum devices are favoured for treatment of erectile dysfunction and penile length loss after radical prostatectomy; the Osbon ErecAid is the most well-studied device for this indication. Research into other uses of vacuum and traction devices, such as for penile dysmorphophobia or before and after penile prosthesis, is very limited. Compliance, cost and availability remain substantial challenges, and further high-quality evidence is required to clarify the role of traction devices in urology and sexual medicine.
有多种设备可用于治疗勃起功能障碍、佩罗尼病、阴茎畸形恐惧症患者，也可用于阴茎假体植入前后的支撑，以及根治性前列腺切除术后的支撑。牵引设备包括但不限于 Penimaster PRO（MSP Concept，柏林，德国）、Andropenis 和 Andropeyronie（Andromedical，马德里，西班牙）和 Restorex（PathRight Medical，普利茅斯，美国）。另一种类型的设备是真空设备，如 Osbon ErecAid（Timm Medical，明尼苏达州，美国）。不同的设备适用于不同的临床应用，强有力的现代临床数据显示了每种设备的优缺点。目前的研究倾向于在治疗佩罗尼病患者的阴茎弯曲和勃起功能方面使用牵引设备，而不是真空设备；与真空设备相比，Penimaster Pro 和 Restorex 已被证明在该适应症中具有最佳效果。真空设备更适合治疗勃起功能障碍和根治性前列腺切除术后的阴茎长度损失；Osbon ErecAid 是该适应症中研究最多的设备。对真空和牵引设备其他用途的研究，例如用于阴茎畸形恐惧症或阴茎假体植入前后的研究非常有限。顺应性、成本和可用性仍然是重大挑战，需要进一步的高质量证据来阐明牵引设备在泌尿科和性医学中的作用。
