Department of Surgery, Division of Urology, University of Texas McGovern Medical School, Houston, TX, USA.
Philadelphia College of Osteopathic Medicine, Philadelphia, PA, USA.
Sex Med Rev. 2022 Jul;10(3):421-433. doi: 10.1016/j.sxmr.2021.12.003. Epub 2022 Feb 1.
Penile traction therapy (PTT) and vacuum erection devices (VED) are nonsurgical conservative treatment options that have been used in the treatment of various urologic and sexual disorders such as Peyronie's Disease (PD) and Erectile Dysfunction (ED). Recently expanded uses for these therapies now include penile lengthening and with surgical interventions such as penile prosthesis surgery (PPS) and radical prostatectomy (RP). These devices can be used as both monotherapy or combination therapy.
To review the indications and clinical studies for PTT and VED.
A literature search was conducted using PubMed to identify relevant studies addressing PTT, VED, and their indications. Searched terms included penile traction therapy, penile traction device, vacuum erection device, Peyronie's disease, penile prosthesis, radical prostatectomy, subjectively small penis, penile lengthening, erectile dysfunction.
PTT with dynamic traction devices has shown favorable benefits for PD in many studies. The benefits of VED for PD cannot be confirmed due to limited studies with poor quality. In posterior urethroplasty, VED shows promise postoperatively, with additional trials also needed. In PPS, both PTT and VED have had positive findings in pre- and postoperative treatment. In RP patients, VED use has had positive outcomes while new literature shows beneficial effects of dynamic PTT and provides a basis for future studies. VED use does not show great benefit in patients with small penis, however PTT does have some positive findings. In ED, VED has a history of successful use and PTT has promising new data available.
PTT and VED have been utilized in urologic and sexual conditions with various success. Several promising areas utilizing both PTT and VED are being studied, however, more research needs to be done in these areas prior to becoming a standard treatment. Mehr J, Santarelli S, Green TP, et al. Emerging Roles of Penile Traction Therapy and Vacuum Erectile Devices. Sex Med Rev 2022;10:414-426.
阴茎牵引疗法（PTT）和真空勃起装置（VED）是两种非手术保守治疗选择，已用于治疗各种泌尿科和性功能障碍，如 Peyronie 病（PD）和勃起功能障碍（ED）。最近，这些治疗方法的应用范围扩大，包括阴茎延长术，并与手术干预措施（如阴茎假体手术（PPS）和根治性前列腺切除术（RP））结合使用。这些设备可单独使用或联合使用。
回顾 PTT 和 VED 的适应证和临床研究。
使用 PubMed 进行文献检索，以确定涉及 PTT、VED 及其适应证的相关研究。搜索词包括阴茎牵引疗法、阴茎牵引装置、真空勃起装置、Peyronie 病、阴茎假体、根治性前列腺切除术、主观小阴茎、阴茎延长术、勃起功能障碍。
许多研究表明，使用动态牵引装置的 PTT 对 PD 有良好的疗效。由于研究质量较差，有限的研究不能证实 VED 对 PD 的疗效。在后尿道成形术中，VED 术后显示出有希望的效果，还需要更多的试验。在 PPS 中，PTT 和 VED 在术前和术后治疗中均有阳性发现。在 RP 患者中，VED 的使用有积极的结果，而新的文献显示动态 PTT 有有益的效果，并为未来的研究提供了依据。然而，PTT 在小阴茎患者中也有一些阳性发现。在 ED 中，VED 有成功使用的历史，PTT 也有新的有前途的数据。
PTT 和 VED 已在泌尿科和性功能障碍的各种情况下得到应用，并取得了不同程度的成功。目前正在研究利用 PTT 和 VED 的几个有前途的领域，但在这些领域成为标准治疗方法之前，还需要进行更多的研究。Mehr J，Santarelli S，Green TP，等。阴茎牵引疗法和真空勃起装置的新作用。性医学评论 2022；10：414-426。
