Huschke T, Zermann D H, Schubert J
Klinik und Poliklinik für Urologie, Friedrich-Schiller-Universität Jena.
Z Arztl Fortbild (Jena). 1997 Jan;90(8):725-31.
During the past three decades, the use of implants both in urology and other surgical specialties has experienced exponential growth. The development of implantable genitourinary prostheses has similarly grown from simple testicular substitutes to the large group of implantable penile prostheses, artificial urinary sphincters, prostheses in neurology, and possible future developments of artificial bladder and ureteral materials. The majority of urologic prostheses are constructed of silicone, because it is relatively inert, but nevertheless silicone causes some local tissue reactions and deteriorates with time. Currently, much research is underway studying the effects on the human host. Although multiple mechanical malfunctions of these prosthetic devices have occurred, periprosthetic infection is the most disastrous complication which usually leads to removal of the prostheses. This article gives the clinician an overview of common complex urologic implants, especially the current development of prostheses in the field of neurology.
在过去三十年中，植入物在泌尿外科及其他外科专业中的使用呈指数级增长。可植入泌尿生殖假体的发展同样经历了从简单的睾丸替代物到大量可植入阴茎假体、人工尿道括约肌、神经学领域的假体，以及未来可能的人工膀胱和输尿管材料的发展。大多数泌尿外科假体由硅酮制成，因为它相对惰性，但硅酮仍会引起一些局部组织反应并随时间恶化。目前，正在进行大量研究以探讨其对人体宿主的影响。尽管这些假体装置出现了多种机械故障，但假体周围感染是最灾难性的并发症，通常会导致假体被移除。本文为临床医生概述了常见的复杂泌尿外科植入物，尤其是神经学领域假体的当前发展情况。
