Dad S, Amar A D
Urol Clin North Am. 1982 Feb;9(1):197-201.
In patients with refractory Peyronie's disease, satisfactory sexual rehabilitation with correction of chordee and amelioration of local pain and tenderness can be achieved with wide excision of the plaque, followed by grafting with the tunica vaginalis from the testes. However, one must be extremely careful in assessing and selecting patients for surgery, and at least six months of observation must be allowed. The surgical outcome is most gratifying in patients with "mature" or well-demarcated plaques with progressive chordee. Finally, strict adherence to surgical principles to prevent graft contracture or to minimize its effects is urged.
对于难治性佩罗尼氏病患者，通过广泛切除斑块，随后用睾丸鞘膜移植，可实现满意的性康复，纠正阴茎弯曲并改善局部疼痛和压痛。然而，在评估和选择手术患者时必须极其谨慎，且至少要观察六个月。对于有“成熟”或界限清楚的斑块且伴有进行性阴茎弯曲的患者，手术效果最为令人满意。最后，强烈敦促严格遵守手术原则以防止移植组织挛缩或尽量减少其影响。
