Pereira Arias J G, Escobal Tamayo V, Maraña Fernandez M T, Astobieta Odriozola A, Bernuy Malfaz C
Unidad de Andrología, Hospital de Galdacano, Vizcaya, España.
Arch Esp Urol. 1994 Sep;47(7):703-8.
The aim of this study was to review the current situation of penile prostheses in the treatment of erectile dysfunction and to analyze the indications, degree of acceptability and complications in our experience. From 1987 to 1993, 35 implants were inserted in men suffering from impotence due to different etiologies. The mean age was 54 years and the mean duration of erectile dysfunction was 37 months. Diabetes, vascular disease and pelvic surgery were the most common pathologies recorded. We utilized the penoscrotal approach in 97.14% of the cases and implanted the following prostheses: 12 Hydroflex, 7 Uniflate 1000, 6 Acuform, 4 Mark II, 3 Dynaflex and 3 Alpha 1. The mean follow-up was 38 months. Infection of the prosthesis by Staph. epidermidis was observed in 5.71% of the cases. This infectious complication required removal of the prosthesis. Two patients with a Uniflate prosthesis complained of mechanical failure. Eighty percent of the patients and 74.28% of their partners were satisfied with the results. When asked if they would undergo another operation again if it were necessary, 71.42% answered "yes". Penile prostheses have withstood the test of time and continue to be an effective and valid therapeutic alternative in impotent men. Although the complication rate is low, adequate information must be provided to the patient and partner in order to enhance the results.
本研究的目的是回顾阴茎假体治疗勃起功能障碍的现状，并根据我们的经验分析其适应证、可接受程度及并发症。1987年至1993年，为35例因不同病因导致阳痿的男性植入了阴茎假体。平均年龄为54岁，勃起功能障碍的平均病程为37个月。糖尿病、血管疾病和盆腔手术是记录中最常见的病理情况。我们在97.14%的病例中采用了阴茎阴囊入路，并植入了以下假体：12个Hydroflex、7个Uniflate 1000、6个Acuform、4个Mark II、3个Dynaflex和3个Alpha 1。平均随访时间为38个月。5.71%的病例观察到假体被表皮葡萄球菌感染。这种感染性并发症需要取出假体。两名植入Uniflate假体的患者抱怨出现机械故障。80%的患者及其74.28%的伴侣对结果满意。当被问及如果有必要是否会再次接受手术时，71.42%的人回答“是”。阴茎假体经受住了时间的考验，仍然是阳痿男性一种有效且可行的治疗选择。尽管并发症发生率较低，但必须向患者及其伴侣提供充分的信息，以提高治疗效果。
