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在佩罗尼氏病手术治疗中使用股部皮下组织的新型移植技术：一例报告。

Novel grafting technique using femoral subcutaneous tissue in the surgical management of Peyronie's disease: A case report.

作者信息

Tirtayasa Pande Made Wisnu, Ananda I Gede Yogi Prema, Pantjoro Marshal Harvy Wicaksono, Duarsa Gede Wirya Kusuma

机构信息

Department of Urology, Faculty of Medicine, Universitas Udayana, Denpasar, Bali, Indonesia; Universitas Udayana Teaching Hospital, Badung, Bali, Indonesia.

Department of Urology, Faculty of Medicine, Universitas Udayana, Denpasar, Bali, Indonesia.

出版信息

Int J Surg Case Rep. 2025 Jun;131:111447. doi: 10.1016/j.ijscr.2025.111447. Epub 2025 May 14.

DOI:10.1016/j.ijscr.2025.111447
PMID:40378418
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12143599/
Abstract

INTRODUCTION

Peyronie's disease (PD) is characterized by fibrous plaque formation in the tunica albuginea, leading to penile curvature, painful erections, and erectile dysfunction (ED). Surgical treatment often requires grafting post-plaque excision to restore function. Although various graft materials are used, the use of femoral subcutaneous tissue for PD has not been documented yet. The objective is to explore the feasibility and potential benefits of this new graft material as an alternative for PD patients.

CASE PRESENTATION

A 52-year-old male with Peyronie's disease presented with penile curvature and painful erections. Physical examination revealed a penile plaque. After plaque excision, a femoral subcutaneous graft was placed. Postoperatively, the patient experienced no complications, including graft rejection, erectile dysfunction, or penile shortening, and resumed normal sexual function.

DISCUSSION

Femoral subcutaneous tissue was selected for its high vascularity, ease of harvesting, and low complication risk. Compared to commonly used grafts, it offers better perfusion and tissue integration, reducing the risk of PD recurrence and shortening.

CONCLUSION

This case highlights the successful utilization of femoral subcutaneous tissue as a graft for PD surgery, offering promising results. Further research is needed to validate its long-term efficacy compared to traditional grafts.

摘要

引言

佩罗尼氏病（PD）的特征是白膜中形成纤维斑块，导致阴茎弯曲、疼痛性勃起和勃起功能障碍（ED）。手术治疗通常需要在斑块切除后进行移植以恢复功能。尽管使用了各种移植材料，但股骨皮下组织用于PD的情况尚未见报道。目的是探讨这种新型移植材料作为PD患者替代材料的可行性和潜在益处。

病例报告

一名52岁患有佩罗尼氏病的男性出现阴茎弯曲和疼痛性勃起。体格检查发现阴茎有斑块。在斑块切除后，植入了股骨皮下移植物。术后，患者未出现包括移植排斥、勃起功能障碍或阴茎缩短在内的并发症，并恢复了正常性功能。

讨论

选择股骨皮下组织是因其血管丰富、易于获取且并发症风险低。与常用移植物相比，它提供更好的灌注和组织整合，降低了PD复发和缩短的风险。

结论

本病例突出了股骨皮下组织作为PD手术移植物的成功应用，结果令人鼓舞。与传统移植物相比，需要进一步研究以验证其长期疗效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f79/12143599/230e75d1ed8d/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f79/12143599/a839158ee9f1/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f79/12143599/f4a1a6a1ad0a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f79/12143599/252fcd5accf5/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f79/12143599/be237eb87aab/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f79/12143599/230e75d1ed8d/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f79/12143599/a839158ee9f1/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f79/12143599/f4a1a6a1ad0a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f79/12143599/252fcd5accf5/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f79/12143599/be237eb87aab/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f79/12143599/230e75d1ed8d/gr5.jpg

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本文引用的文献

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Diagnostics (Basel). 2024 May 29;14(11):1125. doi: 10.3390/diagnostics14111125.
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The SCARE 2023 guideline: updating consensus Surgical CAse REport (SCARE) guidelines.SCARE 2023 指南：更新共识外科病例报告（SCARE）指南。
Int J Surg. 2023 May 1;109(5):1136-1140. doi: 10.1097/JS9.0000000000000373.
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Medium-long-term outcomes of saphenous vein graft in Peyronie surgery: Is there a need for new graft material?
佩罗恩病手术中隐静脉移植物的中-长期效果：是否需要新型移植物材料？
Rev Int Androl. 2022 Jul-Sep;20(3):145-151. doi: 10.1016/j.androl.2020.12.009. Epub 2022 Jun 16.
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Quality of life of patients with La Peyronie's disease undergoing local iontophoresis therapy: A longitudinal observational study.佩罗尼病患者行局部离子电渗疗法后的生活质量：一项纵向观察性研究。
Arch Ital Urol Androl. 2022 Mar 29;94(1):75-79. doi: 10.4081/aiua.2022.1.75.
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Contemporary Review of Peyronie's Disease Treatment.佩罗尼氏病治疗的当代综述
Curr Urol Rep. 2018 May 17;19(7):51. doi: 10.1007/s11934-018-0800-5.
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Grafts for Peyronie's disease: a comprehensive review.用于治疗 Peyronie 病的移植物：全面综述。
Andrology. 2018 Jan;6(1):117-126. doi: 10.1111/andr.12421. Epub 2017 Dec 20.
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Buccal mucosa is a promising graft in Peyronie's disease surgery. Our experience and a brief literature review on autologous grafting materials.
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Peyronie's disease: a literature review on epidemiology, genetics, pathophysiology, diagnosis and work-up.佩罗尼氏病：关于流行病学、遗传学、病理生理学、诊断及检查的文献综述
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Use of autologous grafts in the treatment of acquired penile curvature: An experience of 33 cases.自体移植物在治疗后天性阴茎弯曲中的应用：33例经验
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