斑块切除加自体睾丸鞘膜移植术治疗阴茎硬结症

Plaque excision plus autologous perididymal patch grafting for Peyronie's disease

目的:探讨斑块切除+自体睾丸鞘膜移植术治疗阴茎硬结症的临床疗效。方法:选取2013年1月至2015年12月收治的10例经药物保守治疗12个月以上无效、处于稳定期6个月以上、阴茎弯曲>60°、不能完成性交的阴茎硬结症患者,行阴茎硬结切除+自体睾丸鞘膜移植修补缺损。结果:10例患者术后随访期6~24个月,所有患者术后阴茎均能正常勃起,无手术侧睾丸萎缩、扭转或坏死。患者对阴茎外形满意,未觉阴茎有明显缩短。结论:斑块切除+自体睾丸鞘膜移植术是治疗阴茎硬结症造成的阴茎勃起畸形的一种安全、简便、经济和有效的手术方式。

Objective： To investigate the clinical effect of plaque excision plus autologous perididymal patch grafting in the treatment of Peyronie＇s disease. Methods： This study included 10 patients with Peyronie＇s disease received in our Department of Urology between January 2013 and December 2015, who had failed to respond to over 12 months of expectant drug therapy and re- mained stable for more than 6 months, none able to perform sexual intercourse due to penile curvature （ 〉 60~）. All the patients un- derwent plaque excision plus autologous perididymal patch grafting. Results ： Postoperative follow-up ranged from 6 to 24 months. All the patients achieved normal penile erection, without testicular atrophy, torsion or necrosis at the surgery side and all were satisfied with the surgical results without complaining about obvious penile shortening. Conclusion： Plaque excision plus autologous perididy- mal patch grafting is a safe, simple, economic and effective method for the treatment of Peyronie＇s disease.