Soderdahl D W, Petroski R A, Mode D, Schwartz B F, Thrasher J B
Department of Surgery, Madigan Army Medical Center, Tacoma, Washington 98431, USA.
Tech Urol. 1997 Summer;3(2):100-2.
Although penile prostheses are highly effective in the treatment of erectile dysfunction, a small percentage of patients are dissatisfied. Serendipitously, a patient in this group found that using an external vacuum device to augment his prosthetic erection provided a dramatic objective improvement in his erection and increased his overall satisfaction with intercourse. Patients who had tried the combination of external vacuum device and penile prosthesis simultaneously were identified from our penile prosthesis population as well as the Osbon Medical Systems database. Telephone interviews were conducted to determine efficacy, satisfaction, and side effects from the combination. Twelve patients completed the telephone survey. Four patients had semirigid and eight had inflatable penile prostheses. After using the vacuum device to augment the erection, all reported increased rigidity and patient/partner satisfaction, and 11 of 12 described improved length and girth. Minimal complications were noted. Concomitant use of an external vacuum device and penile prosthesis was safe in this select population. The combination may be indicated in patients with penile prostheses who are dissatisfied with size and/or rigidity, and in those who refuse or who are poor candidates for prosthesis revision.
尽管阴茎假体在治疗勃起功能障碍方面非常有效，但仍有一小部分患者不满意。偶然地，该组中的一名患者发现，使用外部真空装置增强其假体勃起后，其勃起状况有了显著的客观改善，并提高了他对性交的总体满意度。我们从阴茎假体患者群体以及奥斯本医疗系统数据库中确定了同时尝试过外部真空装置和阴茎假体联合使用的患者。通过电话访谈来确定联合使用的疗效、满意度和副作用。12名患者完成了电话调查。4名患者使用半硬性阴茎假体，8名患者使用可膨胀阴茎假体。在使用真空装置增强勃起后，所有患者均报告硬度增加，患者及其伴侣的满意度提高，12名患者中有11名表示阴茎长度和周长有所改善。观察到的并发症极少。在这一特定人群中，同时使用外部真空装置和阴茎假体是安全的。对于对阴茎大小和/或硬度不满意的阴茎假体患者，以及那些拒绝或不适合进行假体修复的患者，联合使用可能是一种选择。
