Merrill D C
Urology. 1983 Oct;22(4):371-5. doi: 10.1016/0090-4295(83)90412-0.
The Scott inflatable penile prosthesis was implanted in 150 patients with organic (89%) and psychologic (11%) impotency from 1979 to 1982. The patients were followed up for an average of twenty-five (6-46) months. A satisfactory result was achieved in 133 (89%) patients. Forty-nine major complications occurred in 38 patients. Forty-four surgical procedures were performed in 33 patients to correct mechanical or technical complications (32), replace the device (9), or remove the device (3). Two patients refused corrective surgery, and the complications could not be corrected in 2 patients. Cylinder leaks (15), leaks at tubing/connector junctions (14), and cylinder aneurysms (7) were responsible for most of the mechanical failures. Additional refinements in surgical technique will not eliminate these problems. Device modifications should be made to increase cylinder durability, to eliminate the need for suture ligation of tubing/connector junctions, and to assure symmetrical cylinder expansion.
1979年至1982年期间，150例患有器质性（89%）和心理性（11%）阳痿的患者植入了斯科特可充气阴茎假体。患者平均随访了25（6 - 46）个月。133例（89%）患者取得了满意的结果。38例患者发生了49例严重并发症。33例患者进行了44次外科手术，以纠正机械或技术并发症（32例）、更换装置（9例）或取出装置（3例）。2例患者拒绝接受矫正手术，2例患者的并发症无法纠正。大多数机械故障是由圆柱体泄漏（15例）、管道/连接器连接处泄漏（14例）和圆柱体动脉瘤（7例）引起的。手术技术的进一步改进并不能消除这些问题。应进行装置改进，以提高圆柱体的耐用性，消除对管道/连接器连接处进行缝合结扎的必要性，并确保圆柱体对称扩张。
