George V K, Erkhan S, Dhabuwala C B
Department of Urology, Wayne State University, Detroit, MI 48201, USA.
Int J Impot Res. 1995 Mar;7(1):17-21.
Between October, 1987 and June, 1993, we implanted 50 Mentor two-piece inflatable penile prostheses with a mean follow-up of 52.18 months (6-72 months). In 7 pts (14%), the implants were removed for various reasons. One pt (2%) had total fluid leak due to breakage of the tube at its junction with the cylinder. One implant (2%) was replaced due to loss of rigidity. Two implants (4%) were removed due to infection and later replaced with semirigid prostheses. Three pts (6%) had pump erosion. There was loss of rigidity in seven implants (14%), which appears to be due to stretching of the tunica albuginea from repeated use. The limited amount of fluid in the resipump precludes compensation for the stretching, leading to loss of rigidity. The overall complication rate of 28% in this long-term series appears to be much higher than that in other reported short-term follow ups. Thirty-six pts (72%) are fully satisfied with the device and 7 pts (14%) are partially satisfied, with an overall satisfaction rate of 86%. In our series, 46/50 (92%) pts have functioning prostheses at the time of review.
1987年10月至1993年6月期间，我们植入了50个Mentor两件式可膨胀阴茎假体，平均随访52.18个月（6 - 72个月）。7例患者（14%）因各种原因取出了假体。1例患者（2%）因导管与圆柱体连接处破裂导致完全液体泄漏。1个假体（2%）因硬度丧失而被更换。2个假体（4%）因感染被取出，后来更换为半硬性假体。3例患者（6%）出现泵侵蚀。7个假体（14%）出现硬度丧失，这似乎是由于白膜因反复使用而拉伸所致。贮液泵中的液体量有限，无法补偿这种拉伸，导致硬度丧失。在这个长期系列中，28%的总体并发症发生率似乎远高于其他报道的短期随访结果。36例患者（72%）对该装置完全满意，7例患者（14%）部分满意，总体满意率为86%。在我们的系列中，46/50（92%）例患者在复查时假体功能良好。
