Department of Urology, University Hospital HM Sanchinarro, Instituto Investigación Sanitaria HM Hospitales and ROC Clinic, 28050 Madrid, Spain.
Department of Urology and Andrology, Klinik Donaustadt, 1210 Vienna, Austria.
Rev Int Androl. 2024 Sep;22(3):1-8. doi: 10.22514/j.androl.2024.016. Epub 2024 Sep 30.
Penile prosthesis implantation (PPI) is a definitive solution for severe erectile dysfunction unresponsive to conventional therapies. However, in patients with corporal fibrosis (CF), the procedure presents significant challenges and higher complication risks. This narrative review explores the crucial role of imaging techniques, such as ultrasound and magnetic resonance imaging, in preoperative planning for PPI in patients with CF. Through a comprehensive literature search, we analyzed studies focusing on the efficacy of these imaging modalities in assessing fibrosis severity and guiding surgical strategies. Our findings highlight that advanced imaging provides essential insights into fibrosis extent, thereby optimizing surgical outcomes and reducing potential complications. The review underscores the importance of meticulous preoperative imaging in improving patient management and surgical precision in this complex clinical scenario.
阴茎假体植入术(PPI)是对传统治疗方法无效的严重勃起功能障碍的一种确定性解决方案。然而,对于患有 corporal fibrosis(CF)的患者,该手术存在显著挑战和更高的并发症风险。本叙述性综述探讨了影像学技术(如超声和磁共振成像)在 CF 患者 PPI 术前规划中的关键作用。通过全面的文献检索,我们分析了专注于这些成像方式在评估纤维化严重程度和指导手术策略方面的功效的研究。我们的研究结果强调了先进的影像学提供了纤维化程度的重要见解,从而优化了手术结果并降低了潜在的并发症风险。该综述强调了在这种复杂临床情况下,细致的术前影像学对改善患者管理和手术精度的重要性。