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阴茎假体并发症的管理:病例系列及当前手术策略综述

Management of penile prosthesis complications: a case series and review of current surgical strategies.

作者信息

Rachid Moussaab, Rais Hamza, El Omri Ghassane, Houry Younes, Heddat Abdeljalil

机构信息

Department of Urology, Cheikh Khalifa International University Hospital, Mohammed VI University of Health Sciences (UM6SS), Casablanca, Morocco.

出版信息

Pan Afr Med J. 2025 Jan 27;50:34. doi: 10.11604/pamj.2025.50.34.45903. eCollection 2025.

Abstract

Penile prostheses offer a definitive solution for organic erectile dysfunction, particularly in cases where medical therapies are ineffective or contraindicated. Despite advancements in surgical techniques and infection-resistant materials, complications still arise. This article presents a case series of three patients experiencing different penile prosthesis complications, including severe penile pain, perineal infection, and prosthesis displacement. Management strategies included surgical removal and replacement of prostheses, administration of antibiotics, and careful post-operative monitoring. Key complications discussed include infections, erosion, mechanical malfunctions, and persistent pain. Effective management involves strict aseptic techniques, patient education, and prompt surgical intervention when necessary. This study underscores the importance of meticulous surgical practice and ongoing patient care to mitigate complications and improve outcomes for penile prosthesis recipients.

摘要

阴茎假体为器质性勃起功能障碍提供了一种确定性的解决方案,尤其是在药物治疗无效或禁忌的情况下。尽管手术技术和抗感染材料有所进步,但并发症仍会出现。本文介绍了一组三例患者的病例系列,他们经历了不同的阴茎假体并发症,包括严重的阴茎疼痛、会阴部感染和假体移位。管理策略包括手术取出和更换假体、使用抗生素以及术后仔细监测。讨论的主要并发症包括感染、侵蚀、机械故障和持续性疼痛。有效的管理涉及严格的无菌技术、患者教育以及在必要时及时进行手术干预。本研究强调了细致的手术操作和持续的患者护理对于减轻并发症和改善阴茎假体接受者预后的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55a2/12065554/b44ab359a047/PAMJ-50-34-g001.jpg

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