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如何改善可膨胀阴茎假体手术的功能结果?一项叙述性综述。

How to improve functional outcome of inflatable penile implant surgery? a narrative review.

作者信息

Vural Ahmet, De Bruyn Helene, Van Renterghem Koenraad

机构信息

Department of Urology, Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Istanbul, Turkey.

Department of Urology, University Hospitals Leuven, Leuven, Belgium.

出版信息

Int J Impot Res. 2025 Feb 18. doi: 10.1038/s41443-025-01030-9.

DOI:10.1038/s41443-025-01030-9
PMID:39966533
Abstract

The implantation of a three-piece inflatable penile prosthesis (IPP) has been shown to be a safe and successful treatment with a high satisfaction rate among individuals with erectile dysfunction. This narrative review aims to explore ways to improve the functional outcomes of IPP implantation. We conducted an English-language narrative review using all relevant articles sourced from PubMed. Over the years, modifications in IPP surgery have focused on increasing the longevity of prostheses and improving functional outcomes. These modifications include advancements in surgical methods, implant types, intracorporeal tubing length, the use of rear tip extenders, and reservoir placement. IPP implantation continues to significantly improve quality of life, making it essential for surgeons to stay updated on the latest developments and research to ensure the best outcomes for their patients. Optimal functional outcomes are achieved by an experienced surgical team and the use of a safe, rapid, minimally invasive surgical technique with the latest technology and equipment.

摘要

三件套可膨胀阴茎假体(IPP)植入术已被证明是一种安全且成功的治疗方法,在勃起功能障碍患者中满意度很高。本叙述性综述旨在探索改善IPP植入术功能结果的方法。我们使用从PubMed获取的所有相关文章进行了英文叙述性综述。多年来,IPP手术的改进主要集中在提高假体的使用寿命和改善功能结果上。这些改进包括手术方法、植入类型、体内管道长度、后尖端延长器的使用以及储液器放置等方面的进展。IPP植入术持续显著改善生活质量,这使得外科医生必须了解最新的发展和研究,以确保为患者带来最佳结果。经验丰富的手术团队以及采用安全、快速、微创的手术技术并使用最新技术和设备,才能实现最佳的功能结果。

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1
How to improve functional outcome of inflatable penile implant surgery? a narrative review.如何改善可膨胀阴茎假体手术的功能结果?一项叙述性综述。
Int J Impot Res. 2025 Feb 18. doi: 10.1038/s41443-025-01030-9.
2
New Advancements in Inflatable Penile Prosthesis.可膨胀阴茎假体的新进展
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Technological Improvements in Three-Piece Inflatable Penile Prosthesis Design over the Past 40 Years.过去40年三件式可充气阴茎假体设计的技术改进。
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本文引用的文献

1
Efficacy and safety of malleable penile prosthesis compared to inflatable penile prosthesis in erectile dysfunction patients.可塑 penile 假体与充气 penile 假体治疗勃起功能障碍患者的疗效和安全性比较。
Arch Ital Urol Androl. 2024 Jun 27;96(2):12353. doi: 10.4081/aiua.2024.12353.
2
Does time of intraoperative exposure to the aerobiome increase microbial growth on inflatable penile prostheses?术中暴露于空气微生物群落的时间会增加可膨胀阴茎假体上的微生物生长吗?
Int J Impot Res. 2025 Jan;37(1):51-54. doi: 10.1038/s41443-024-00906-6. Epub 2024 Jun 5.
3
Narrative review of immediate salvage for penile prosthesis infection.
阴茎假体感染即刻挽救治疗的叙述性综述
Transl Androl Urol. 2024 Apr 30;13(4):584-595. doi: 10.21037/tau-23-277. Epub 2024 Apr 18.
4
Preoperative counseling for penile implant surgery: standardized approach in a high-volume center of excellence.阴茎植入手术的术前咨询:高容量卓越中心的标准化方法
Int J Impot Res. 2025 Jan;37(1):14-17. doi: 10.1038/s41443-024-00828-3. Epub 2024 Jan 26.
5
Penile length changes after penile implant surgery.阴茎植入手术后阴茎长度的变化。
J Sex Med. 2023 Nov 30;20(12):1364-1366. doi: 10.1093/jsxmed/qdad125.
6
Perioperative outcomes of penile prosthesis implantation in Germany: results from the GRAND study.德国阴茎假体植入术的围手术期结果:GRAND研究的结果
Int J Impot Res. 2024 Dec;36(8):848-853. doi: 10.1038/s41443-023-00796-0. Epub 2023 Nov 18.
7
Single Dilation in Primary Inflatable Penile Prosthesis Placement Is Associated With Fewer Corporal Complications Than Sequential Dilation.初次使用可膨胀阴茎假体时行单次扩张与多次扩张相比,发生 corporal 并发症的风险更低。
Urology. 2023 Nov;181:150-154. doi: 10.1016/j.urology.2023.06.037. Epub 2023 Sep 15.
8
Mechanical indications for inflatable penile prosthesis revision: analysis and implications for revision surgery.可膨胀阴茎假体翻修的机械指征:分析及其对翻修手术的影响。
J Sex Med. 2023 Jun 28;20(7):1044-1051. doi: 10.1093/jsxmed/qdad064.
9
Simultaneous implant of inflatable penile prosthesis and artificial urinary sphincter: a single high-volume center experience.同时植入可膨胀阴茎假体和人工尿道括约肌:一个高容量单一中心的经验
Int J Impot Res. 2025 Jan;37(1):78-81. doi: 10.1038/s41443-023-00718-0. Epub 2023 May 15.
10
Anatomic considerations of inflatable penile prosthetics: lessons gleaned from surgical body donor workshops.可膨胀阴茎假体的解剖学考虑因素:从手术供体尸体研究工作坊中获得的经验教训。
Int J Impot Res. 2023 Nov;35(7):672-678. doi: 10.1038/s41443-023-00715-3. Epub 2023 May 13.