Wilson S K, Delk J R
Southwest Impotency Center, Van Buren, Arkansas.
J Urol. 1994 Oct;152(4):1121-3. doi: 10.1016/s0022-5347(17)32519-3.
We treated 138 patients with severe Peyronie's disease by insertion of an inflatable penile prosthesis and manual modeling of the erect penis. This novel technique was successful in 118 patients (86%) in achieving a straight, rigid erection. In 11 patients (8%) penile modeling did not result in satisfactory straightening and relaxing plaque incisions were performed. Complications of penile modeling included urethral perforation in 4 patients (3%). Infection of the prosthesis occurred postoperatively in 4 patients (3%). At a mean followup of 32 months (range 9 to 84) 124 patients (90%) were actually using the penile prostheses and none reported penile shortening or impairment of glandular sensation. We suggest that penile modeling over an inflatable penile prosthesis is an important new technique for the patient with severe Peyronie's disease.
我们通过植入可膨胀阴茎假体并对勃起阴茎进行手动塑形，治疗了138例重度佩罗尼氏病患者。这项新技术在118例患者（86%）中成功实现了阴茎笔直、坚硬勃起。11例患者（8%）阴茎塑形后未能达到满意的伸直效果，因此进行了斑块松解切口。阴茎塑形的并发症包括4例患者（3%）发生尿道穿孔。4例患者（3%）术后发生假体感染。平均随访32个月（9至84个月）时，124例患者（90%）实际在使用阴茎假体，且无人报告阴茎缩短或龟头感觉受损。我们认为，在可膨胀阴茎假体上进行阴茎塑形，对重度佩罗尼氏病患者来说是一项重要的新技术。
