Schover L R, von Eschenbach A C
J Sex Marital Ther. 1985 Spring;11(1):57-66. doi: 10.1080/00926238508405959.
Although the availability of the penile prosthesis has changed the evaluation and treatment of erectile dysfunction, urologists and sex therapists have not combined their skills to develop comprehensive treatment plans. This paper describes one effort to use sex therapy techniques in evaluating and treating candidates for a penile prosthesis. The preoperative assessment focuses on multiaxial diagnosis of sexual problems in patient and partner and on the effects a prosthesis might have on their sexual and marital relationship. Men at high risk for a negative psychological reaction after surgery are offered presurgical sex therapy. Routine follow-up visits are scheduled for all patients during postoperative recovery and at 2-3 months postsurgery. If sexual dysfunction or dissatisfaction persists, sex therapy is again recommended. A case history exemplifies our methods, and the issue of financial costs of counseling vs. predicted benefits in terms of patient satisfaction is discussed.
尽管阴茎假体的出现改变了勃起功能障碍的评估和治疗方式，但泌尿科医生和性治疗师尚未将他们的技能结合起来制定全面的治疗方案。本文描述了一项在评估和治疗阴茎假体候选者时运用性治疗技术的尝试。术前评估着重于对患者及其伴侣性问题的多轴诊断，以及假体可能对他们的性和婚姻关系产生的影响。对于术后有负面心理反应高风险的男性，会提供术前性治疗。在术后恢复期间以及术后2至3个月，为所有患者安排常规随访。如果性功能障碍或不满持续存在，则再次建议进行性治疗。一个病例史例证了我们的方法，并讨论了咨询的经济成本与患者满意度方面预期益处的问题。
