Small M P
Urol Clin North Am. 1987 Feb;14(1):187-201.
Unless complications such as infection, erosion, or excessive bleeding develop and unless an inordinate number of malpractice suits ensue, I believe that the outpatient setting for implantation of a penile prosthesis will become increasingly utilized. As emphasized at the beginning of this article, the essential basis for success is thorough evaluation of the candidates for implantation, detailed and documented informed consent, and the elimination as outpatient candidates of poor-risk patients such as certain insulin-dependent diabetics. Patients who are good surgical and postsurgical risks are totally acceptable for outpatient operation. The cost to the patient and insurance carriers is drastically reduced. There is every reason to believe that, in the hands of the highly qualified surgeon, this type of intervention is safe, reliable, and cost-effective.
除非出现感染、糜烂或大量出血等并发症，也除非引发大量医疗事故诉讼，否则我相信阴茎假体植入的门诊治疗将会得到越来越广泛的应用。正如本文开头所强调的，成功的关键在于对植入候选人进行全面评估、获得详细且有记录的知情同意书，并将某些胰岛素依赖型糖尿病患者等高风险患者排除在门诊候选人之外。手术及术后风险低的患者完全适合门诊手术。这将大幅降低患者和保险公司的成本。完全有理由相信，在经验丰富的外科医生手中，这种治疗方式是安全、可靠且具有成本效益的。
