Lue T F, El-Sakka A I
Department of Urology, University of California School of Medicine, San Francisco, USA.
J Urol. 1998 Dec;160(6 Pt 1):2047-9. doi: 10.1097/00005392-199812010-00029.
We describe our technique of plaque incision and venous patch grafting to correct complex penile deformity associated with Peyronie's disease.
Graft material is obtained from the lower and upper saphenous and deep dorsal veins. The configuration, size and number of tunical incisions depend on the site and size of the lesion. In most cases an H-shaped tunical incision is adequate to release the contracture. With the aid of a vascular stapler several vein segments can be assembled easily into 1 piece to cover the defect.
The incidence of penile shortening and erectile dysfunction, following other corrective procedures, is lessened with the tunical incision and venous grafting technique.
The venous graft provides an anatomical and functional tunical substitute. Results in correction of Peyronie's disease are highly encouraging.
我们描述了我们的斑块切开和静脉补片移植技术，以纠正与佩罗尼氏病相关的复杂阴茎畸形。
移植材料取自大隐静脉上下段及阴茎背深静脉。白膜切口的形态、大小和数量取决于病变的部位和大小。在大多数情况下，一个H形的白膜切口足以松解挛缩。借助血管吻合器，几个静脉段可以很容易地组装成一块以覆盖缺损。
与其他矫正手术相比，采用白膜切开和静脉移植技术可降低阴茎缩短和勃起功能障碍的发生率。
静脉移植物提供了一种解剖和功能上的白膜替代物。佩罗尼氏病的矫正结果非常令人鼓舞。
