Erol İbrahim, Yıldız Ali, Karamık Kaan, Anıl Hakan, İslamoğlu Ekrem, Çakır Tuncay, Ateş Mutlu, Savaş Murat
Department of Urology, Antalya Training and Research Hospital, University of Health Sciences, Antalya, Turkey.
Department of Physical Medicine and Rehabilitation, Antalya Training and Research Hospital, University of Health Sciences, Antalya, Turkey.
Asian J Urol. 2023 Oct;10(4):541-545. doi: 10.1016/j.ajur.2021.04.013. Epub 2022 Apr 26.
The present study was aimed to determine the effect of penile prosthesis implantation (PPI) surgery on penile sensation by evaluating the penile electromyography (EMG) variables.
The research was designed as a prospective study. Thirty patients who were diagnosed with organic erectile dysfunction and had underwent PPI surgery between January 2017 and January 2018 in the Urology Clinic of Antalya Training and Research Hospital were included in this study. Penile sensory EMG was performed on each patient 1 day prior to the surgery by the Physical Therapy and Rehabilitation clinic. Additionally, the control EMG study was also performed in the 3rd and 6th postoperative months.
We included 27 patients in this study who attended regular follow-ups and had complete EMG results. Out of the 27 patients, 23 (85.2%) patients had received malleable (ProMedon) penile prosthesis, one (3.7%) patient had received a two-piece inflatable (Ambicor) penile prosthesis, and three (11.1%) patients had received a three-piece inflatable (AMS 700 CXR) penile prosthesis. The mean nerve conduction value (NCV) of the patients was 29.85 (standard derivation: 22.54; range: 0-78.4) m/s during the preoperative period, whereas it was 27.64 (standard derivation: 24.72; range: 0-83.3) m/s in the 3rd postoperative month and 24.80 (standard derivation: 22.31; range: 0-88.4) m/s in the 6th postoperative month. There was no significant difference between preoperative NCV and 3rd postoperative month NCV (=0.607). Similarly, no significant difference was observed between preoperative NCV and 6th postoperative month NCV (=0.276). Additionally, the change between NCV values at postoperative 3rd and 6th months was not statistically significant (=0.553).
Significant loss of penile sensation does not occur in patients who undergo PPI surgery.
本研究旨在通过评估阴茎肌电图（EMG）变量来确定阴茎假体植入（PPI）手术对阴茎感觉的影响。
本研究设计为前瞻性研究。纳入2017年1月至2018年1月在安塔利亚培训与研究医院泌尿外科门诊被诊断为器质性勃起功能障碍并接受PPI手术的30例患者。在手术前1天，由物理治疗与康复门诊对每位患者进行阴茎感觉EMG检查。此外，在术后第3个月和第6个月也进行了对照EMG研究。
本研究纳入了27例定期随访且EMG结果完整的患者。在这27例患者中，23例（85.2%）接受了可屈性（ProMedon）阴茎假体，1例（3.7%）接受了两件式可膨胀（Ambicor）阴茎假体，3例（11.1%）接受了三件式可膨胀（AMS 700 CXR）阴茎假体。术前患者的平均神经传导值（NCV）为29.85（标准差：22.54；范围：0 - 78.4）m/s，术后第3个月为27.64（标准差：24.72；范围：0 - 83.3）m/s，术后第6个月为24.80（标准差：22.31；范围：0 - 88.4）m/s。术前NCV与术后第3个月NCV之间无显著差异（P = 0.607）。同样，术前NCV与术后第6个月NCV之间也无显著差异（P = 0.276）。此外，术后第3个月和第6个月NCV值之间的变化无统计学意义（P = 0.553）。
接受PPI手术的患者未出现明显的阴茎感觉丧失。
