Sulaiman M N, Gingell J C
Department of Urology, Southmead Hospital, Bristol, United Kingdom.
J Androl. 1994 Nov-Dec;15 Suppl:54S-56S.
Between January 1982 and June 1992 83 patients with penile curvature due to Peyronie's disease or congenital curvature underwent a modified Nesbit's procedure for coital difficulties. This represented approximately 23% of the total number of patients referred to the male sexual dysfunction clinic with penile deformity. A confidential postal questionnaire was sent to all of the operated patients in order to determine the longterm results of surgery. Seventy-eight of the 83 patients were contacted, aged 16-71 years (mean = 48 years). Sixty-two of the 78 (79%) were satisfied with the result of surgery and would be prepared to have the operation again. Twenty-two of the 78 were not having intercourse. As a result of this survey we have identified a group of people with initial satisfactory results who have since developed erectile failure. These have been offered either self injection therapy with a vasoactive agent or penile prostheses if they do not respond or do not wish to self inject.
1982年1月至1992年6月期间，83例因佩罗尼氏病或先天性阴茎弯曲导致性交困难的患者接受了改良的内斯比特手术。这约占因阴茎畸形转诊至男性性功能障碍诊所的患者总数的23%。为了确定手术的长期效果，我们向所有接受手术的患者发送了一份保密的邮政调查问卷。83例患者中有78例被联系到，年龄在16至71岁之间（平均48岁）。78例中有62例（79%）对手术结果满意，并愿意再次接受手术。78例中有22例没有进行性交。通过这项调查，我们确定了一组最初手术结果满意但后来出现勃起功能障碍的人群。如果他们没有反应或不愿意自行注射，会为他们提供血管活性药物自我注射治疗或阴茎假体植入治疗。
