国产三件套可膨胀型阴茎假体植入术对勃起功能障碍患者的治疗

Treatment of erectile dysfunction by implantation of domestic made three-piece inflatable penile prosthesis,a retrospective study of 29 cases

目的 观察国产三件套可膨胀型阴茎假体对勃起功能障碍 (ED)患者康复治疗的临床应用效果。方法 选择阴茎阴囊交界处切口植入国产三件套可膨胀型阴茎假体 ,治疗非手术疗法无效的ED患者 2 9例 ,其中神经源性ED患者 2 3例 ,包括截瘫患者 18例 ,外伤所致勃起神经损伤 5例 ;阴茎海绵体动静脉瘘ED 4例 ;阴茎海绵体纤维化ED 1例 ;Klinefeters综合征ED 1例。结果 2 9例ED患者 ,手术均取得成功。术后随访 3～ 36个月 ,平均 18个月。其中 1例出现假体内液体渗出并局部感染 ,2例出现机械性并发症 ,术后维持性交率 2 8/ 2 9。 3例原发性动静脉瘘ED患者 ,经治后使配偶妊娠。结论 国产三件套可膨胀型阴茎假体治疗非手术疗法无效的ED患者 ,隐匿性好 ,康复效果确切 ,不影响既往正常的射精功能 ,且价格低 ,机械故障率与国外产品相仿 ,易被国内患者所接受。

Objective To evaluate the effect of implantation of domestic made three-piece inflatable penile prosthesis on erectile dysfunction (ED). Methods Domestic made three-piece inflatable penile prosthesis were implanted through an incision at the border of penis and scrotum on 29 patients with ED refractory to non-operative treatment, among which 23 being with neurogenic ED, including 18 paraplegia cases and 5 cases of traumatic injury of nervi erigentes; 4 cases with ED caused by arteriovenous fistula; I case with ED caused by fibrosis of corpus cavernosum, and 1 case with ED caused by Klinefelter's syndrome. Follow-up was conducted for 3～36 months to survey the clinical effect. Results Operation was successfully performed upon all 29 patients. Follow-up after operation lasted 3～36 months, 18 months on average. Fluid exudation of penile prosthesis and localized infection occurred in 1 patient and mechanic complication occurred in 2 patients. Maintained sexual intercourse rate was 28/29. 3 ED patients with primary arteriovenous fistula made their spouses pregnant after treatment. Conclusion With excellent covertness and at low cost, implantation of domestic made three-piece inflatable penile prosthesis is effective and well accepted by ED patients.