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佩罗尼氏病所致阴茎畸形矫正术中的切口松解

Relaxing incisions in the correction of penile deformity due to Peyronie's disease.

作者信息

Gelbard M K

机构信息

Department of Urology, Clinical Faculty, University of California, Los Angeles School of Medicine, USA.

出版信息

J Urol. 1995 Oct;154(4):1457-60.

PMID:7658558
Abstract

PURPOSE

The use of tunica albuginea relaxing incisions, a common component of several operative techniques for correction of penile deformity due to Peyronie's disease, is reviewed.

MATERIALS AND METHODS

Of 93 operations performed for penile straightening 24 involved relaxing incisions with penile prosthesis implantation but no grafts and 69 involved autologous free grafts into relaxing incisions without use of an implant.

RESULTS

Relaxing incisions were uniformly effective in correcting penile curvature when used in conjunction with a prosthesis. When autologous grafts were used without an implant, more than 80% of the patients with dorsal or ventral bending had a good result, compared to only 17% with lateral bending.

CONCLUSIONS

Relaxing incisions are an effective technique for changing the shape of the erect penis by altering the configuration of the tunica albuginea at maximal extension.

摘要

目的

回顾白膜松解切口的应用,其是几种用于矫正佩罗尼氏病所致阴茎畸形手术技术的常见组成部分。

材料与方法

在93例阴茎矫直手术中,24例涉及白膜松解切口并植入阴茎假体但未使用移植物,69例涉及在白膜松解切口中植入自体游离移植物且未使用植入物。

结果

当与假体联合使用时,白膜松解切口在矫正阴茎弯曲方面均有效。当不使用植入物而使用自体移植物时,超过80%的背侧或腹侧弯曲患者效果良好,而侧方弯曲患者仅有17%效果良好。

结论

白膜松解切口是一种通过在最大伸展时改变白膜结构来改变勃起阴茎形状的有效技术。

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