AMS 3件套阴茎假体植入术治疗重度勃起功能障碍的疗效观察

Curative Effect of Implantation of AMS Three-piece Inflatable Penile Prosthesis on Severe Erectile Dysfunction

目的：探索AMS 3件套可膨胀型阴茎假体治疗重度勃起功能障碍的临床疗效。方法7例非手术疗法无效的ED患者，其中神经源性3例，阴茎海绵体动静脉瘘2例，阴茎海绵体纤维化2例。选择阴茎阴囊交界处切口植入AMS 3件套可膨胀型阴茎假体。结果7例ED患者，手术过程均顺利，其中3例出现包皮水肿，2周后自愈；术后随访6～36个月，平均18个月，无排异反应，无假体故障，无尿道损伤，术后性生活满意；其中1例海绵体动静脉瘘患者经过治疗后配偶妊娠。结论 AMS 3件套可膨胀型阴茎假体接近人体生理，自然，隐蔽性好，使用方便；手术创伤小，成功率高，机械性能安全、可靠，临床疗效满意。

Objective To observe the clinical efficacy of AMS three- piece inflatable penile prosthesis on erectile dysfunction （ED）.Methods From Dec 2008 to Sep 2012, 7 patiens with of serve erectile dysfunction （ED）,whose ages were 28~55 years （average 47 years） were implanted with AMS three- piece inflatable penile prosthesis in our hospital. The 7 patients with serve erectile dysfunction included 3 patients with neurogenic ED,2 patients with arteriovenous fistula in corpus cavernosum penis and 2 patients with fibrosis of corpus cavernosum penis. Results All of the patients were performed smoothly with implantation of AMS three- piece inflatable penile prosthesis, among them 3 cases appeared foreskin edema, but it disappeared after 2 weeks. After 6~36 months （average 18 months） follow up, there was no rejection, no implant failure, and no urethral injury in our group, all patients got satisfaction on sexual life, and one patient with arteriovenous fistula in corpus cavernosum penis after treatment made his wife pregnant. Conclusion AMS three- piece inflatable penile prosthesis is close to human physiological penis, it has good concealment, less surgical trauma , high success rate, satisfying clinical efficacy, safe and reliable mechanical behavior.