Subrini L
Clinique de la Muette, Paris.
Ann Chir Plast Esthet. 1994 Feb;39(1):15-26.
The author proposes flexible silicone elastomer penile prostheses or implants to restore erectile function. They have the advantage of being flexible, adjustable during the operation and they can be elongated by traction and are resistant to axial pressure. The surgical incisions are explained, in particular the penopubic approach, together with insertion of the implants accompanied by cavernopublic disinsertion and recentering of the glans in patients with La Peyronie's disease. Sixty patients were operated and reviewed with a follow-up of 8 months to 4 years. There were no cases of infection of rejection. 85% of patients were satisfied with the quality of their erectile function. The haemodynamic mechanisms of impotence, situated either in the corpora cavernosa or in the peripheral venous plexus, are reviewed. Flexible penile implants allow restoration of erectile function via various combinations of three possible mechanisms: reduction of the free cavernosal volume, increased resistance to venous drainage, and increased intracavernosal pressure.
作者提出使用柔性硅橡胶弹性体阴茎假体或植入物来恢复勃起功能。它们具有柔韧性的优点，在手术过程中可调节，并且可以通过牵引延长，还能抵抗轴向压力。文中解释了手术切口，特别是耻骨后入路，以及在佩罗尼氏病患者中植入假体时伴随的海绵体耻骨分离和龟头重新定位。对60例患者进行了手术并进行了随访，随访时间为8个月至4年。没有感染或排斥反应的病例。85%的患者对其勃起功能质量感到满意。本文回顾了位于海绵体或外周静脉丛中的阳痿的血流动力学机制。柔性阴茎植入物可通过三种可能机制的各种组合来恢复勃起功能：减少海绵体自由体积、增加对静脉引流的阻力以及增加海绵体内压力。
