Van Huele Andries, Van Renterghem Koenraad
Department of Urology, Jessa Hospital, Hasselt, Belgium.
Department of Urology, Ghent University Hospital, Ghent, Belgium.
Transl Androl Urol. 2023 Dec 31;12(12):1885-1892. doi: 10.21037/tau-23-71. Epub 2023 Dec 21.
Penile prosthesis surgery is considered a safe and effective treatment for patients with erectile dysfunction. Implantation in the medically complex patient can be a challenge. The benefits of treatment must outweigh the possible risks or complications. A description of possible problems and how to cope with them is given in this narrative review.
Literature search was performed in January 2023 using different search prompts in PubMed. These articles, excluding non-English and non-full text articles, were listed by the two authors and afterwards, the most relevant ones were included.
This article is divided into five important topics. We evaluated different comorbidities such as spinal cord injury, diabetes mellitus and cardiovascular disease, in which preoperative work-up and counseling is of significant importance. A detailed description of these comorbidities and how to handle these can be found in each section. In addition to the preoperative aspect in organ transplant patients, problems during surgery can arise, e.g., with the reservoir placement. Similarly, in patients with previous pelvic surgery, an ectopic reservoir placement can prevent possible complications.
Preoperative diagnostics are crucial and prosthetic surgery should be done by an experienced high-volume surgeon with a diverse range of surgical techniques at his disposal.
阴茎假体手术被认为是治疗勃起功能障碍患者的一种安全有效的方法。对于病情复杂的患者进行植入手术可能具有挑战性。治疗的益处必须超过可能的风险或并发症。本叙述性综述给出了可能出现的问题以及应对方法的描述。
2023年1月在PubMed中使用不同的检索词进行文献检索。这两位作者列出了这些文章，排除非英文和非全文文章，之后纳入最相关的文章。
本文分为五个重要主题。我们评估了不同的合并症，如脊髓损伤、糖尿病和心血管疾病，其中术前检查和咨询非常重要。在每个部分都可以找到这些合并症的详细描述以及如何处理它们。除了器官移植患者的术前情况外，手术过程中也可能出现问题，例如储液器的放置。同样，在既往有盆腔手术的患者中，异位储液器放置可预防可能的并发症。
术前诊断至关重要，假体手术应由经验丰富、掌握多种手术技术的高年资外科医生进行。
