Montorsi F, Guazzoni G, Bergamaschi F, Rigatti P
Institute of Human Anatomy, Scientific Institute H. San Raffaele, Milan, Italy.
J Urol. 1993 Dec;150(6):1819-21. doi: 10.1016/s0022-5347(17)35904-9.
The long-term acceptance of and satisfaction with penile prostheses were assessed in patients with Peyronie's disease and their partners. From 1985 to 1987, 50 men with advanced Peyronie's disease and associated erectile dysfunction were treated with a semirigid penile implant without additional plaque surgery. A total of 48 patients and 29 partners was reassessed at a followup of at least 60 months. Only 23 patients (48%) and 12 partners (40%) were totally satisfied with the long-term functional result and would repeat the same operation. Among the 25 dissatisfied patients (52%) loss of complementary erection resulting in a pencil-like penis, decrease in penile sensitivity, poor concealment and persistence of penile deviation were the major complaints. Of the partners 17 (60%) were dissatisfied due to poor penile girth, sensation of a cold glans penis, sensation of unnatural intercourse and dyspareunia. Eight patients (16%) chose to substitute the semirigid implant with a 3-component inflatable prosthesis. On a long-term basis, placement of a semirigid penile prosthesis for Peyronie's disease is associated with a significant patient-partner dissatisfaction rate.
对佩罗尼氏病患者及其伴侣阴茎假体的长期接受度和满意度进行了评估。1985年至1987年，50名患有晚期佩罗尼氏病及相关勃起功能障碍的男性接受了半硬性阴茎植入治疗，未进行额外的斑块手术。在至少60个月的随访中，对48名患者和29名伴侣进行了重新评估。只有23名患者（48%）和12名伴侣（40%）对长期功能结果完全满意，并愿意再次接受相同手术。在25名不满意的患者（52%）中，主要抱怨包括补充勃起丧失导致阴茎像铅笔一样、阴茎敏感度降低、隐匿性差和阴茎弯曲持续存在。在伴侣中，17名（60%）因阴茎周长不佳、阴茎头冰冷感、性交不自然感和性交困难而不满意。8名患者（16%）选择用三件式可膨胀假体替代半硬性植入物。从长期来看，为佩罗尼氏病患者植入半硬性阴茎假体与患者-伴侣的显著不满意率相关。
