Cookson M S, Nadig P W
Division of Urology, University of Texas Health Science Center, San Antonio 78284-7845.
J Urol. 1993 Feb;149(2):290-4. doi: 10.1016/s0022-5347(17)36059-7.
From November 1985 to April 1990, 216 consecutive patients were treated with the vacuum constriction device. Patients were mailed an initial questionnaire (group 1) and a long-term questionnaire (group 2) at a median followup of 3 and 29 months, respectively. Of 202 available patients 161 in group 1 (75%) and 115 in group 2 (57%) responded. Regular use of the vacuum constriction device was reported by 69% group 1 and 70% group 2 patients. patient and partner satisfaction was 82% and 87% in group 1, and 84% and 89% in group 2, respectively. There were no significant differences between the groups with respect to regular use and patient or partner satisfaction (p < 0.05). Quality of erection was evaluated for hardness, length and circumference, and with satisfaction greater than 90% in both groups. Median times per month of successful intercourse were 1, 4 and 4 for the year before, during and after obtaining the vacuum constriction device in group 2. Also, 79% of the patients in group 2 reported a statistically significant increase in the frequency of intercourse per month in the first year, which was sustained beyond the first year in 77% (p < 0.01). Our results support the efficacy of the vacuum constriction device for the treatment of impotence. Overall regular use rates as well as patient and partner satisfaction appear to be high. Furthermore, excellent initial results appear durable in most patients.
1985年11月至1990年4月，连续216例患者接受了真空紧缩装置治疗。分别在中位随访3个月和29个月时，给患者邮寄了初始问卷（第1组）和长期问卷（第2组）。在202例可获得的患者中，第1组161例（75%）和第2组115例（57%）做出了回应。第1组69%和第2组70%的患者报告经常使用真空紧缩装置。第1组患者及其伴侣的满意度分别为82%和87%，第2组分别为84%和89%。两组在经常使用以及患者或伴侣满意度方面无显著差异（p<0.05）。对勃起质量进行了硬度、长度和周长评估，两组满意度均超过90%。第2组在获得真空紧缩装置之前、期间和之后每年每月成功性交的中位次数分别为1次、4次和4次。此外，第2组79%的患者报告在第一年每月性交频率有统计学显著增加，77%的患者在第一年之后仍保持这一频率（p<0.01）。我们的结果支持真空紧缩装置治疗阳痿的疗效。总体经常使用率以及患者和伴侣满意度似乎都很高。此外，大多数患者的良好初始结果似乎具有持久性。
