Berrettini Alfredo, Paraboschi Irene, Di Grazia Massimo, Gnech Michele, Mantica Guglielmo, Minoli Dario Guido, De Marco Erika Adalgisa, Manzoni Gianantonio, Capece Marco, Palmieri Alessandro, Ralph David, Mirone Vincenzo
Department of Pediatric Urology, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milano, Italy.
Department of Urology, IRCCS Ospedale Policlinico San Martino, Genova, Italy.
Res Rep Urol. 2023 Feb 15;15:85-89. doi: 10.2147/RRU.S387042. eCollection 2023.
We present the first case of a patient born with congenital fusiform megalourethra who underwent the successful placement of an inflatable penile prosthesis (IPP) and mesh phalloplasty due to primary erectile dysfunction (ED). After an extensive psychosexual assessment and a preoperative MRI scan, an IPP was successfully implanted. The procedure was carried out through a penoscrotal approach, which offered excellent exposure to the crura and the proximal ends of the corpora cavernosa. Following the incision and the dilatation of both corpora cavernosa, the penile cylinders were inserted and a mesh phalloplasty was performed, to replace the erectile tissues lacking in the distal corpora cavernosa. After reservoir and pump placement, the device was tested, and no mechanical issues were recorded. The postoperative course was uneventful, and, at the 2-year follow-up, the patient reported highly satisfactory results, with valid functional erections.
我们报告了首例先天性梭形巨尿道患者的病例，该患者因原发性勃起功能障碍（ED）成功植入了可膨胀阴茎假体（IPP）并进行了网状阴茎成形术。经过广泛的性心理评估和术前MRI扫描后，成功植入了IPP。手术通过阴茎阴囊入路进行，该入路能很好地暴露阴茎脚和海绵体近端。在切开并扩张双侧海绵体后，插入阴茎圆柱体并进行网状阴茎成形术，以替代远端海绵体中缺乏的勃起组织。在放置储液器和泵之后，对该装置进行了测试，未记录到机械问题。术后过程顺利，在2年的随访中，患者报告结果非常满意，有有效的功能性勃起。
