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J Sex Med：充气式阴茎植入物手术的实际考虑因素

2021-07-31 AlexYang MedSci原创

阴茎植入充气式考虑因素
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阴茎假体植入仍然是根治性盆腔手术后药物难治性勃起功能障碍（ED）男性的有效解决方案。尽管骨盆解剖结构扭曲，但只要严格选择病人，进行适当的术前检查和坚持安全的手术原则，就可以进行阴茎植入术并取得良好的临

阴茎假体植入仍然是根治性盆腔手术后药物难治性勃起功能障碍（ED）男性的有效解决方案。尽管骨盆解剖结构扭曲，但只要严格选择病人，进行适当的术前检查和坚持安全的手术原则，就可以进行阴茎植入术并取得良好的临床效果。

近期，有研究人员为药物难治性ED患者的充气式阴茎假体（IPP）植入术提供了实用建议，重点是患者的选择和咨询、术前工作以及手术注意事项，以减少术中并发症。

研究人员对有关阴茎假体和盆腔手术的纯英文文章进行了Medline检索，并在检索中包括以下术语来寻找感兴趣的文章：包括 "膀胱癌"、"前列腺癌"、"直肠癌"、"盆腔手术 "和 "充气式阴茎假体"。

研究的结果是关于患者选择、术前工作和手术原则的临床关键建议。研究人员认为，应让患者了解IPP的机制，知情同意程序应强调IPP手术的好处和坏处、替代治疗方案、费用、潜在的假体并发症和患者对临床结果的期望。虽然术前检查应包括筛查活动性感染和优化原有的医学并存病，但通常没有必要对ED进行专门的诊断测试。应采取预防措施以尽量减少感染性并发症。在该群体中，下体膨胀和贮液器放置可能具有挑战性，外科医生在处理特殊病例（如同时存在的佩罗尼氏病和尿失禁问题）时可能需要了解先进的重建外科技术，。

综上所述，盆腔根治术后的患者可以高效、安全地进行IPP植入术。严格的患者选择和咨询过程，加上安全的手术原则，对实现良好的临床效果和患者满意度非常重要。这篇论文概述了在盆腔根治术后接受IPP手术的男性的实际考虑。局限性包括缺乏高质量的数据和关于各种假体相关并发症手术排除步骤的详细手术描述。

原始出处：

Eric Chung ， John Mulhall. Practical Considerations in Inflatable Penile Implant Surgery. J Sex Med. Jul 2021

 

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    2021-08-02 智者为医08

    #阴茎#

    0

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    2021-08-02 linagood

    #植入物#

    0

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    2021-08-02 jiyangfei

    #植入#

    0

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    2021-08-02 ms3994565386320060

    #Med#

    0