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Surgery for Peyronie's disease 被引量:9
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作者 Laurence A Levine Stephen M Larsen 《Asian Journal of Andrology》 SCIE CAS CSCD 2013年第1期27-34,共8页
Peymnie's disease (PD) is most simply referred to as a fibrotic wound-healing disorder of the tunica albuginea. It is both a physically and psychologically devastating disorder that causes penile deformity, curvatu... Peymnie's disease (PD) is most simply referred to as a fibrotic wound-healing disorder of the tunica albuginea. It is both a physically and psychologically devastating disorder that causes penile deformity, curvature, hinging, narrowing and shortening, which may compromise sexual function. Although a variety of non-surgical treatments have been suggested, none to date offer a reliable and effective correction of the penile deformity. As a result, surgery remains the gold standard treatment option, offering the most rapid and reliable treatment which will be the focus of this article. We review the preoperative evaluation, surgical algorithm, graft materials and postoperative management of PD. Outcomes for tunical shortening, tunical lengthening and penile prosthesis placement for penile straightening are reviewed. Tunica albuginea plication is the preferred method of straightening for men with adequate rigidity and less severe disease defined as curvature less than 70° without narrowing/hinging. Men who have more severe, complex deformity, but maintain strong preoperative erectile function should be considered candidates for straightening with plaque incision or partial excision and grafting. Finally, for those men who have inadequate rigidity and PD, penile prosthesis placement with straightening is the best approach to address both problems. 展开更多
关键词 penile prosthesis peyronie's disease penile reconstruction plaque excision and grafting plaque incision tunica albuginea plication
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Extracorporeal shockwave therapy for Peyronie's disease: an alternative treatment? 被引量:5
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作者 Vassilis Poulakis Konstantinos Skriapas +5 位作者 Rachelle de Vries Wolfgang Dillenburg Nikolaos Ferakis Ulrich Witzsch Michael Melekos Edward Becht 《Asian Journal of Andrology》 SCIE CAS CSCD 2006年第3期361-366,共6页
Aim: To determine retrospectively the safety and efficacy of extracorporeal shock wave therapy (ESWT) in patients with Peyronie's disease. Methods: Fifty-three patients with stable Peyronie's disease underwent E... Aim: To determine retrospectively the safety and efficacy of extracorporeal shock wave therapy (ESWT) in patients with Peyronie's disease. Methods: Fifty-three patients with stable Peyronie's disease underwent ESWT (group 1). Fifteen patients matched with the baseline characteristic of the patients in group 1, who received no treatment, were used as the control (group 2). The patients' erectile function (International Index of Erectile Function [IIEF-5] score), pain severity (visual analog scale), plaque size and degree of penile angulation were assessed before and after the treatment in group 1 and during the follow-up in group 2. Results: The mean follow-up time was 32 months (range: 6-64 months) in group 1 and 35 months (range: 9-48 months) in group 2. All the patients were available for the follow-up. Considering erectile function and plaque size, no significant changes (P 〉 0.05) were observed in group 1 before or after the ESWT. A total of 39 patients (74%) reported a significant effect in pain relief in group 1 after ESWT. However, regarding improvement in pain, IIEF-5 score and plaque size, no significant differences were observed between the two groups. In 21 patients (40%) of group 1, the deviation angle was decreased more than 10° with a mean reduction in all patients of 11° (range: 6-20°). No serious complications were noted considering ESWT procedure. Conclusion: ESWT is a minimally invasive and safe alternative procedure for the treatment of Peyronie's disease. However, the effect of ESWT on penile pain, sexual function and plaque size remains questionable. 展开更多
关键词 erectile dysfunction extracorporeal shockwave therapy peyronie's disease penile curvature
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Surgical treatment of Peyronie's disease: choosing the best approach to improve patient satisfaction 被引量:3
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作者 Paulo H. Egydio 《Asian Journal of Andrology》 SCIE CAS CSCD 2008年第1期158-166,共9页
Aim: To discuss important points on medical history, preoperative evaluation, real expectations, and selection of the appropriate surgical procedure to improve patient satisfaction after surgical procedures for Peyro... Aim: To discuss important points on medical history, preoperative evaluation, real expectations, and selection of the appropriate surgical procedure to improve patient satisfaction after surgical procedures for Peyronie's disease. Methods: Recent advances in approaches to Peyronie's disease are discussed based on the literature and personal experiences. Issues concerning surgical indication, patient selection, surgical techniques, and grafting are discussed. Lengthening procedures on the convex side of the penile curvature by means of grafting offer the best possible gain from a reconstruction standpoint. Penile rectification and rigidity are required to achieve a completely functional penis. Most patients experience associated erectile dysfunction (ED), and penile straightening alone may not be enough to restore complete function. Twenty-five patients were submitted to total penile reconstruction on length and girth with concomitant penile prosthesis implant. The maximum length restoration was possible and limited by the length of the dissected neurovascular bundle. The mean age was 55.4 years (32-69 years) and the mean angle of curvature 74.2± 22.4° (0-100°). Pericardial grafting was used to cover the defect. The mean follow-up time was 11.2 ± 5.9 months (3-22 months). Results: Mean functional penile length gain was 3.40 + 0.73 cm (2-5 cm). Penile prosthesis maintained the penis straight. No infections occurred. Sexual intercourse was restored in all patients and all reported recovered self-esteem. Conclusion: Improving patient satisfaction with the surgical treatment includes proper preoperative evaluation on stable disease, penile shortening, vascular and erectile status, patient decision and selection as well as extensive discussion on surgical technique for restoring functional penis (length and rigidity). Length and girth restoration is very important for self-esteem and patient satisfaction. 展开更多
关键词 peyronie's disease erectile dysfunction induratio penis plastica penile induration tunica albuginea surgical technique PENIs GRAFT sURGERY penile reconstruction
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Non-surgical therapy of Peyronie's disease 被引量:3
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作者 Frederick L. Taylor Laurence A. Levine 《Asian Journal of Andrology》 SCIE CAS CSCD 2008年第1期79-87,共9页
The present paper provides a review of the available non-surgical treatments for Peyronie's disease (PD). A review of published literature on oral, intralesional, external energy and iontophoresis therapies for PD ... The present paper provides a review of the available non-surgical treatments for Peyronie's disease (PD). A review of published literature on oral, intralesional, external energy and iontophoresis therapies for PD was performed, and the published results of available treatment options reviewed. The authors' recommendations for appropriate non-surgical management of PD are provided. Although there are many published reports that show the efficacy of non-surgical therapies for PD, there is a lack of large scale, multicenter controlled clinical trials, which makes treatment recommendations difficult. Careful review of the literature does suggest that there are treatment options that make scientific sense and appear to stabilize the disease process, reduce deformity, and improve function. Offering no treatment at all will encourage our patients to pursue alternative treatments, which might do harm, and misses the opportunity to do some good. Clearly further work is necessary to develop safe and effective non-surgical treatments for PD. 展开更多
关键词 peyronie's disease penile induration humans injections intralesional vitamin E PENTOXIFYLLINE amino acids
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Tunica albuginea allograft: a new model of LaPeyronie's disease with penile curvature and subtunical ossification 被引量:3
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作者 Ludovic Ferretti Thomas M Fandel +8 位作者 Xuefeng Qiu Haiyang Zhang Hazem Orabi Alex K Wu Lia Banie Guifang Wang Guiting Lin Ching-Shwun Lin Tom FLue 《Asian Journal of Andrology》 SCIE CAS CSCD 2014年第4期592-596,共5页
The pathophysiology of LaPeyronie's disease (PD) is considered to be multifactorial, involving genetic predisposition, trauma, inflammation and altered wound healing. However, these factors have not yet been valida... The pathophysiology of LaPeyronie's disease (PD) is considered to be multifactorial, involving genetic predisposition, trauma, inflammation and altered wound healing. However, these factors have not yet been validated using animal models. In this study, we have presented a new model obtained by tunica albuginea allograft. A total of 40, 16-week-old male rats were used. Of these, 8 rats served as controls and underwent a 10 × 2-mm-wide tunical excisionwith subsequent autografting, whereas the remaining 32 underwent the same excision with grafting of the defect with another rat's tunica. Morphological and functional testing was performed at 1, 3, 7 and 12 weeks after grafting. Intracavernous pressure, the degree of penile curvature and elastic fiber length were evaluated for comparison between the allograft and control groups. The tissues were obtained for histological examination. The penile curvature was significantly greater in the allografted rats as compared with the control rats. The erectile function was maintained in all rats, except in those assessed at 12 weeks. The elastin fiber length was decreased in the allografted tunica as compared to control. SMAD2 expression was detected in the inner part of the allograff, and both collagen-Ⅱ- and osteocalcin-positive cells were also noted. Tunica albuginea (TA) allograft in rats is an excellent model of PD. The persistence of curvature beyond 12 weeks and the presence of ossification in the inner layer of the TA were similar to those observed in men with PD. Validation studies using this animal model would aid understanding of the PD pathophysiology for effective therapeutic interventions. 展开更多
关键词 ALLOGRAFT animal model OsTEOGENEsIs penile curvature penile surgery peyronie's disease
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Penile prosthesis implantation and tunica albuginea incision without grafting in the treatment of Peyronie's disease with erectile dysfunction 被引量:3
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作者 Miroslav L Djordjevic Vladimir Kojovic 《Asian Journal of Andrology》 SCIE CAS CSCD 2013年第3期391-394,共4页
We evaluated penile prosthesis implantation with tunica albuginea-relaxing incisions without grafting in the treatment of Peyronie's disease associated with erectile dysfunction. Between April 2005 and June 2011, 62 ... We evaluated penile prosthesis implantation with tunica albuginea-relaxing incisions without grafting in the treatment of Peyronie's disease associated with erectile dysfunction. Between April 2005 and June 2011, 62 patients underwent surgery due to severe Peyronie's disease associated with erectile dysfunction. Malleable and inflatable penile prostheses were inserted in 49 and 13 cases, respectively. Penile prostheses were inserted into the corpora cavernosa using the standard ventral approach. After lifting the neurovascular bundle, the tunica albuginea was incised and opened at the plaque region to correct the deformities and to lengthen the penis. Subsequently, the wide neurovascular bundle was replaced, and all incisions of the tunica albuginea were covered to prevent corporal grafting. In the median follow-up of 35 months (range 14-82 months), the penis was completely straightened in 59 (95%) patients. Numbness of the glans, which the patients found initially upsetting, decreased or disappeared spontaneously 3-6 months later. Penile prosthesis implantation with tunica albuginea incisions is a viable alternative in the treatment of Peyronie's disease because the extensive dissection of the neurovascular bundle allows a good approach to the plaque and provides excellent covering of the incised tunica albuginea without additional grafting. 展开更多
关键词 erectile dysfunction neurovascular bundle penile prosthesis peyronie's disease tunica albuginea
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Inhibition of histone deacetylase 2 mitigates profibrotic TGF-β1 responses in fibroblasts derived from Peyronie's plaque 被引量:3
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作者 Ji-Kan Ryu Woo-Jean Kim Min-Ji Choi Jin-Mi Park Kang-Moon Song Mi-Hye Kwon Nando-Dulal Das Ki-Dong Kwon Dulguun Batbold Guo-Nan Yin Jun-Kyu Suh 《Asian Journal of Andrology》 SCIE CAS CSCD 2013年第5期640-645,共6页
Epigenetic modifications, such as histone acetylation/deacetylation, have been shown to play a role in the pathogenesis of fibrotic disease. Peyronie's disease (PD) is a localized fibrotic process of the tunica alb... Epigenetic modifications, such as histone acetylation/deacetylation, have been shown to play a role in the pathogenesis of fibrotic disease. Peyronie's disease (PD) is a localized fibrotic process of the tunica albuginea, which leads to penile deformity. This study was undertaken to determine the anti-fibrotic effect of small interfering RNA (siRNA)-mediated silencing of histone deacetylase 2 (HDAC2) in primary fibroblasts derived from human PD plaque. PD fibroblasts were pre-treated with HDAC2 siRNA and then stimulated with transforming growth factor-p1 (TGF-β1). Protein was extracted from treated fibroblasts for Western blotting and the membranes were probed with antibody to phospho-Smad2/Smad2, phospho-Smad3/Smad3, smooth muscle α-actin and extracellular matrix proteins, including plasminogen activator inhibitor-β 1, fibronectin, collagen I and collagen IV. We also performed immunocytochemistry to detect the expression of extracellular matrix proteins and to examine the effect of HDAC2 siRNA on the TGF-β1-induced nuclear translocation of Smad2/3 in fibroblasts. Knockdown of HDAC2 in PD fibroblasts abrogated TGF-β1-induced extracellular matrix production by blocking TGF-β1-induced phosphorylation and nuclear translocation of Smad2 and Smad3, and by inhibiting TGF-β1-induced transdifferentiation of fibroblasts into myofibroblasts. Decoding the individual function of the HDAC isoforms by use of siRNA technology, preferably siRNA for HDAC2, may lead to the development of specific and safe epigenetic therapies for PD. 展开更多
关键词 cell culture FIBROsIs histone deacetylase peyronie's disease transforming growth factor-beta
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Pentoxifylline treatment and penile calcifications in men Nith Peyronie's disease 被引量:2
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作者 James F Smith Alan W Shindel +5 位作者 Yun-Ching Huang Raul I Clavijo Lawrence Flechner Benjamin N Breyer Michael L Eisenberg Tom F Lue 《Asian Journal of Andrology》 SCIE CAS CSCD 2011年第2期322-325,共4页
This retrospective cohort study from a single clinical practice enrolled patients with evidence of calcified Peyronie's disease (PD) plaques detected on penile ultrasound at the time of initial presentation. The pr... This retrospective cohort study from a single clinical practice enrolled patients with evidence of calcified Peyronie's disease (PD) plaques detected on penile ultrasound at the time of initial presentation. The primary objective was to describe the effect of pentoxifylline (PTX) treatment on subtunical calcifications in men with PD. A PD-specific questionnaire was administered and sonographic evaluations were performed at baseline and follow-up visits. Descriptive statistics and X2 analysis were used to characterize the effect of PTX on calcified tunical plaques. In all, 71 men (mean age: 51.9 years) with PD and sonographic evidence of calcification were identified. Of them, 62 of these men were treated with PTX for a mean duration of I year, and nine with vitamin E or no treatment. Improvement or stabilization in calcium burden at follow-up was noted in 57 (91.9%) of men treated with PTX versus four (44,4%) of those not treated with PTX (P〈0.001). PTX users were much less likely to have a subjective worsening of their clinical condition (25.0% versus 78.3%, P=0.002). Treatment with PTX appeared to stabilize or reduce calcium content in PD plaques. A randomized controlled trial is warranted to further explore this effect. 展开更多
关键词 penile calcifications PENTOXIFYLLINE peyronie's disease TREATMENT
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Long-term results of the surgical treatment of Peyronie's disease with Egydio's technique: a European multicentre study 被引量:1
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作者 Salvatore Sansalone Giulio Garaffa +6 位作者 Rados Djinovic Stefano Pecoraro Mauro Silvani Guido Barbagli Alessandro Zucchi Giuseppe Vespasiani Carla Loreto 《Asian Journal of Andrology》 SCIE CAS CSCD 2011年第6期842-845,共4页
The long-term outcomes of 157 patients affected by Peyronie's disease (PD) who underwent penile straightening with Egydio's technique between January 2004 and December 2008 are reported. Only patients with PD who ... The long-term outcomes of 157 patients affected by Peyronie's disease (PD) who underwent penile straightening with Egydio's technique between January 2004 and December 2008 are reported. Only patients with PD who were stable for at least 6-12 months prior to surgery were enrolled in this study. Preoperative assessment included a dynamic echo colour Doppler ultrasound scan to evaluate the degree of penile deformity and the peak systolic velocity in the cavernosal arteries and an assessment of erectile function with the administration of the International Index of Erectile Function 5 (IIEF-5) questionnaire. Stretched penile length was recorded pre- and postoperatively. Surgical complications, cosmesis and sexual function, patient satisfaction and postoperative erectile function were assessed postoperatively at 3 months, I year and 2 years, respectively. After a median follow-up period of 20 months (range: 12-24 months), we found that mild residual curvature (12%) and glans hypoesthesia (3%) were the only causes of partial dissatisfaction. No rejection of the graft was observed. All patients recovered their ability to penetrate with no difficulty. In addition, an intraoperative average increase of 2.5 cm (range: 1.7-4.1 cm) in stretched penile length was recorded, with all patients engaging in penetrative sexual intercourse. In conclusion, this procedure represents a safe and reproducible technique for the correction of penile curvature resulting from PD and yields excellent cosmetic and functional results. 展开更多
关键词 Egydio's technique erectile dysfunction GRAFT peyronie's disease
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Effect of SMAD7 gene overexpression on TGF-β1-induced profibrotic responses in fibroblasts derived from Peyronie's plaque 被引量:5
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作者 Min Ji Choi Kang-Moon Song +6 位作者 Jin-Mi Park Mi-Hye Kwon Ki-Dong Kwon Soo-Hwan Park Dong-Soo Ryu Ji-Kan Ryu Jun-Kyu Suh 《Asian Journal of Andrology》 SCIE CAS CSCD 2015年第3期487-492,共6页
Transforming growth factor-β1 (TGF-β1) has been identified as one of the most important fibrogenic cytokines associated with Peyronie's disease (PD). The mothers against decapentaplegic homolog 7 (SMAD7) is a... Transforming growth factor-β1 (TGF-β1) has been identified as one of the most important fibrogenic cytokines associated with Peyronie's disease (PD). The mothers against decapentaplegic homolog 7 (SMAD7) is an inhibitory Smad protein that blocks TGF-J3 signaling pathway. The aim of this study was to examine the anti-fibrotic effect of the SMAD7 gene in primary fibroblasts derived from human PD plaques. PD fibroblasts were pretreated with the SMAD7 gene and then stimulated with TGF-β1. Treated fibroblasts were used for Western blotting, fluorescent immunocytochemistry, hydroxyproline determination, and terminal deoxynucleotidyl transferase-mediated deoxyuridine triphosphate nick-end labeling assays. Overexpression of the SMAD7 gene inhibited TGF-β1-induced phosphorylation and nuclear translocation of SMAD2 and SMAD3, transdifferentiation of fibroblasts into myofibroblasts, and quashed TGF-β1-induced production of extracellular matrix protein and hydroxyproline. Overexpression of the SMAD7 gene decreased the expression of cyclin D1 (a positive cell cycle regulator) and induced the expression of poly (ADP-ribose) polymerase 1, which is known to terminate Smad-mediated transcription, in PD fibroblasts. These findings suggest that the blocking of the TGF-β pathway by use of SMAD7 may be a promising therapeutic strategy for the treatment of PD. 展开更多
关键词 cell culture decapentaplegic homolog 7 FIBROsIs peyronie's disease transforming growth factor-beta
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Peyronie's disease:a silent consequence of diabetes mellitus 被引量:4
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作者 A.Tefekli E.Kandirali +2 位作者 B.Erol M.Tunc A. Kadioglu 《Asian Journal of Andrology》 SCIE CAS CSCD 2006年第1期75-79,共5页
Aim: To investigate the clinical characteristics of patients with Peyronie's disease (PD) and diabetes mellitus (DM). Methods: During an 8-year period, a total of 307 men seen at our outpatient clinic were diag... Aim: To investigate the clinical characteristics of patients with Peyronie's disease (PD) and diabetes mellitus (DM). Methods: During an 8-year period, a total of 307 men seen at our outpatient clinic were diagnosed with PD. Clinical characteristics, penile deformities and the erectile status of patients with PD and DM together (n = 102) were retrospectively analyzed and compared to patients with PD alone with no risk factors for systemic vascular diseases (n = 97). Results:The prevalence of PD among men with DM and sexual dysfunction was 10.7 %. The mean age of diabetic patients with PD was (55.9 ± 8.9) years; in the no risk factor group it was (48.5 ± 9.0) years (P 〈 0.05). The median duration of DM was 5 years. The majority of diabetic patients with PD (56.0 %) presented in the chronic phase (P 〈 0.05), and they were more likely to have a severe penile deformity (〉 60°) than the no risk factor group (P 〈 0.05). In the diabetic group, the most common presenting symptom was penile curvature (81.4%), followed by a palpable nodule on the shaft of the penis (22.5%) and penile pain with erection (14.7%). A total of 19.6% of patients were not aware of their penile deformities in the diabetic group. Erectile function, provided by history and in response to intracavernosal injection and a stimulation test, was significantly diminished in patients with PD and DM (P 〈 0.05). Conclusion: DM probably exaggerates the fibrotic process in PD. Diabetic patients with PD have a higher risk of severe deformity and erectile dysfunction (ED). PD seems to be a silent consequence of DM and should be actively sought in diabetic men. (Asian JAndrol 2006 Jan; 8: 75-79) 展开更多
关键词 peyronie's disease diabetes mellitus erectile dysfunction penile deformity FIBROsIs
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白膜削除—折叠缝扎术治疗Peyronie’s病和先天性阴茎弯曲畸形 被引量:3
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作者 镇万华 常江平 +1 位作者 叶少波 胡礼泉 《医学新知》 CAS 2005年第1期16-17,共2页
目的 探讨治疗Peyronie’s病和先天性阴茎弯曲新的手术方法。方法 手术取包皮环切口 ,分离暴露白膜 ,生理盐水灌注海绵体诱发勃起 ,明确弯曲部位、程度和方向 ,确定白膜削除的部位和范围 ,于弯曲的凸面分离背血管神经束或尿道海绵体 ... 目的 探讨治疗Peyronie’s病和先天性阴茎弯曲新的手术方法。方法 手术取包皮环切口 ,分离暴露白膜 ,生理盐水灌注海绵体诱发勃起 ,明确弯曲部位、程度和方向 ,确定白膜削除的部位和范围 ,于弯曲的凸面分离背血管神经束或尿道海绵体 ,牵开并保护 ,用小园刀卵圆形削除双侧白膜浅层 ,丝线内翻折叠缝合创损的白膜 2~ 3针 ,其中 3例背深静脉漏者同时行背深静脉结扎术。结果 弯曲矫正率 10 0 %,术后无血肿、感染发生 ,勃起功能无影响 ,随访 1/ 2~ 4年 ,无弯曲复发 ,13例有满意性交 ,3例背深静脉结扎者 1例有自发性勃起 ,2例需依赖万艾可 (Viagra)性交。结论 白膜削除 折叠缝扎术可完全矫正阴茎弯曲畸形 ,且不损伤海绵体血窦 ,无出血和勃起功能影响 ,白膜粘连愈合牢固 ,无缝线断裂复发的可能。因而 ,白膜削除 折叠缝扎术是矫正阴茎弯曲畸形的简便、安全、有效的方法。 展开更多
关键词 白膜削除-折叠缝扎术 治疗 peyronies 先天性阴茎弯曲畸形
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Peyronie’s病的外科治疗进展 被引量:2
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作者 孙发 杨宇如 +1 位作者 石家齐 谷江 《临床泌尿外科杂志》 2008年第2期155-158,共4页
Peyronie’s病常并发阴茎弯曲和勃起疼痛,内科治疗不理想,须外科治疗,主要治疗方式有三类:包括阴茎白膜缩短术、斑块切开或切除补片修复术和阴茎假体植入术,因阴茎组织结构的特殊性,治疗效果均不理想,脱细胞细胞外基质和阴茎假体植入技... Peyronie’s病常并发阴茎弯曲和勃起疼痛,内科治疗不理想,须外科治疗,主要治疗方式有三类:包括阴茎白膜缩短术、斑块切开或切除补片修复术和阴茎假体植入术,因阴茎组织结构的特殊性,治疗效果均不理想,脱细胞细胞外基质和阴茎假体植入技术兴起与发展可望为Peyronie’s病患者阴茎修复重建提供较为有前景的治疗模式。 展开更多
关键词 阴茎 peyronie 外科治疗
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Identification of potential biomarkers of Peyronie's disease
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作者 Gui-Ting Lin Zhong Wang +2 位作者 Ben-Chun Liu Tom F. Lu Ching-Shwun Lin 《Asian Journal of Andrology》 SCIE CAS CSCD 2005年第3期237-243, ,共7页
Aim: To identity proteins that are differentially expressed in cells derived from normal and diseased tunica albuginea (TA) as related to Peyronie's disease (PD). Methods: Cells with characteristics of fibrobla... Aim: To identity proteins that are differentially expressed in cells derived from normal and diseased tunica albuginea (TA) as related to Peyronie's disease (PD). Methods: Cells with characteristics of fibroblasts were isolated from two tissue sources. Those from the plaque of patients with PD were designated as PT cells, and those from the normally- appearing TA of the same patients were designated as NT cells. Messenger RNAs of these cells were analyzed by real-time polymerase chain reaction (RT-PCR) for the expression of monocyte chemoattractant protein 1 (MCP-1). Crude protein lysates were analyzed by surface-enhanced laser desorption/ionization mass spectrometry (SELDI-MS) with IMAC30-Cu, CM10, and H50 chips. Each lysate was then separated into six fractions, which were further analyzed by SELDI-MS. Results: RT- PCR analysis showed that PT cells expressed higher levels of MCP-1 than their counterpart NT cells. SELDI-MS analysis showed that the crude protein lysates of all four cell strains produced similar and reproducible protein profiles on IMAC30-Cu and CM 10 chips. Additional SELDI-MS analyses with the fractionated lysates detected three proteins of 11.6 kDa, 14.5 kDa, 22.6 kDa that were upregulated in PT cells and two proteins of 6.3 kDa and 46,9 kDa that were downregulated in PT cells. Conclusion: MCP-1, which is often involved in tissue fibrosis, was expressed at higher levels in PT than that in NT cells. Five potential biomarkers for PD were identified by SELDI-MS analysis. (Asian J Androl 2005 Sep; 7: 237-243) 展开更多
关键词 peyronie's disease MCP-I tunica albuginea PENIs mass spectrometry sELDI
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Use of a lyophilized bovine pericardium graft to repair tunical defect in patients with Peyronie's disease: experience in a clinical setting
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作者 Javier Romero Otero Borja Garcia Gomez +5 位作者 Jose Medina Polo Carlos Pascual Mateoe Silvia Garcia Barreras Eduard Garcia Cruz Javier de la Riva de la Vifia Alfredo Rodriguez Antolin 《Asian Journal of Andrology》 SCIE CAS CSCD 2017年第3期316-320,共5页
Many different materials are available for grafting during surgery for Peyronie's disease (PD). To study the outcomes associated with the use of a lyophilized bovine pericardium graft (Peri-Guard) to repair tunic... Many different materials are available for grafting during surgery for Peyronie's disease (PD). To study the outcomes associated with the use of a lyophilized bovine pericardium graft (Peri-Guard) to repair tunical defects in patients with PD, descriptive study of 43 patients with disabling penile curvature was performed. Curvature was measured before and after the intervention using a standardized procedure. Surgical technique was plaque excision and grafting of the tunical defect carried out by a single surgeon. A lyophilized bovine pericardium patch was used for grafting. We measured the change in penile curvature and length, the ability to perform successful sexual intercourse without further pharmacological or surgical treatment, and the satisfaction with treatment. Follow-up data were available for a total of 41 patients. Median age was 50 years (IQR 48-52); mean follow-up time was 14 ± 6 months. Complete penile straightening was achieved in 33 patients (80.5%) and five patients (12.2%) had curvature under 20. Three months after surgery and stretching therapy, mean (s.d.) flaccid penile length increased from 11.2 ± 2.8 cm to 12.1 ± 2.9 cm (P = 0.062). Seventy-five percentage of patients reported being able to achieve successful intercourse without further treatment. Eighty-five percentage of patients reported to be satisfied with the treatment. There was no evidence of tissue rejection or infection, and only four patients suffered an adverse event. Plaque excision and grafting of the tunical defect with lyophilized bovine pericardium seems to be a safe and effective treatment for patients with PD. 展开更多
关键词 penile curvature pericardium patch peyronie's disease surgical treatment
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妊娠糖尿病患者蛋白C、蛋白S和抗凝血酶Ⅲ水平及其与孕周的关系
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作者 王全先 代延朋 +5 位作者 丁燕子 付梦宇 张雪薇 邢金芳 董凯楠 袁恩武 《河南医学研究》 CAS 2024年第8期1362-1365,共4页
目的探讨妊娠糖尿病(GDM)患者蛋白C(PC)、蛋白S(PS)和抗凝血酶Ⅲ(ATⅢ)水平及其与孕周的关系。方法选择2019年1月至2023年3月在医院就诊的232例GDM孕妇作为观察组,同时随机选取同期在医院进行孕检的268例正常孕妇作为对照组,比较两组一... 目的探讨妊娠糖尿病(GDM)患者蛋白C(PC)、蛋白S(PS)和抗凝血酶Ⅲ(ATⅢ)水平及其与孕周的关系。方法选择2019年1月至2023年3月在医院就诊的232例GDM孕妇作为观察组,同时随机选取同期在医院进行孕检的268例正常孕妇作为对照组,比较两组一般资料和PC、PS和ATⅢ水平;按孕周将观察组和对照组分为孕中期和孕晚期,分别比较孕中期和孕晚期观察组和对照组PC、PS和ATⅢ水平。通过相关性分析,分析PC、PS和ATⅢ水平与孕周的相关性。结果与对照组相比,观察组PS和PC水平降低(P<0.05),但ATⅢ水平差异无统计学意义(P>0.05)。GDM患者PC和ATⅢ水平与孕周呈负相关(r=-0.156、-0.134,P<0.05)。结论GDM患者PS和PC水平降低,且随孕周增大,PC、PS和ATⅢ水平降低,应尽早进行干预,以减少血栓形成的风险。 展开更多
关键词 妊娠糖尿病 蛋白C 蛋白s 抗凝血酶Ⅲ
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结合主动光源和改进YOLOv5s模型的夜间柑橘检测方法 被引量:1
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作者 熊俊涛 霍钊威 +4 位作者 黄启寅 陈浩然 杨振刚 黄煜华 苏颖苗 《华南农业大学学报》 CAS CSCD 北大核心 2024年第1期97-107,共11页
【目的】解决夜间环境下遮挡和较小柑橘难以准确识别的问题,实现采摘机器人全天候智能化作业。【方法】提出一种结合主动光源的夜间柑橘识别方法。首先,通过分析主动光源下颜色特征不同的夜间柑橘图像,选择最佳的光源色并进行图像采集... 【目的】解决夜间环境下遮挡和较小柑橘难以准确识别的问题,实现采摘机器人全天候智能化作业。【方法】提出一种结合主动光源的夜间柑橘识别方法。首先,通过分析主动光源下颜色特征不同的夜间柑橘图像,选择最佳的光源色并进行图像采集。然后,提出一种夜间柑橘检测模型BI-YOLOv5s,该模型采用双向特征金字塔网络(Bi-FPN)进行多尺度交叉连接和加权特征融合,提高对遮挡和较小果实的识别能力;引入Coordinate attention(CA)注意力机制模块,进一步加强对目标位置信息的提取;采用融入Transformer结构的C3TR模块,在减少计算量的同时更好地提取全局信息。【结果】本文提出的BI-YOLOv5s模型在测试集上的精准率、召回率、平均准确率分别为93.4%、92.2%和97.1%,相比YOLOv5s模型分别提升了3.2、1.5和2.3个百分点。在所采用的光源色环境下,模型对夜间柑橘识别的正确率为95.3%,相比白光环境下提高了10.4个百分点。【结论】本文提出的方法对夜间环境下遮挡和小目标柑橘的识别具有较高的准确性,可为夜间果蔬智能化采摘的视觉精准识别提供技术支持。 展开更多
关键词 柑橘 夜间检测 主动光源 双向特征金字塔网络 YOLOv5s HsV颜色空间
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HBsAg和HBsAb共存的慢性乙肝患者的血清学特征和S区突变位点
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作者 刘辉 郄恒宇 +1 位作者 刘新 娄金丽 《标记免疫分析与临床》 CAS 2024年第3期393-398,共6页
目的探讨HBsAg/HBsAb双阳患者和HBsAg单阳性患者的血清学差异,并对两组患者的HBV S区突变位点进行比较分析,探寻HBsAg/HBsAb共阳性患者可能的分子机制。方法选取首都医科大学附属北京佑安医院2022年6月至2023年3月的284例HBsAg/HBsAb双... 目的探讨HBsAg/HBsAb双阳患者和HBsAg单阳性患者的血清学差异,并对两组患者的HBV S区突变位点进行比较分析,探寻HBsAg/HBsAb共阳性患者可能的分子机制。方法选取首都医科大学附属北京佑安医院2022年6月至2023年3月的284例HBsAg/HBsAb双阳患者和519例HBsAg单阳患者,统计Age、ALT、AST、AST/ALT、TBiL、ALb、r-GT、HBsAg和HBsAg滴度、HBsAb、HBeAg、HBeAb、HBcAb、WBC,对两组患者的血清学指标进行比较分析。对HBV S区扩增成功的19例HBsAg/HBsAb双阳患者和19例HBsAg单阳患者进行测序分析,统计高频突变位点,分析HBV S区突变特征,探寻HBsAg/HBsAb双阳患者可能发生的分子机制。结果HBsAg/HBsAb双阳患者和HBsAg单阳患者在性别、HBeAg、ALT、AST、TBiL、r-GT差异有统计学意义(P<0.05)。两组患者在Age、HBeAb、HBcAb、AST/ALT、Alb、WBC差异无统计学意义(P>0.05)。HBsAg/HBsAb双阳组患者C基因型占78.95%(15/19),其中A113D/T、A317C/S、A45T、A86G、A87T、A96V、A97P等突变频率较高,HBsAg单阳组C基因型占84.21%(16/19),V159A、M47T、I213L、A317S、E44G、Q267L突变频率较高,两组患者的高频突变位点明显不同。结论双阳和单阳CHB患者血清学和基因突变位点存在显著差异。建议针对HBV S区不同的突变位点进一步研究HBsAg和HBsAb共存的机制。 展开更多
关键词 HBsAG 跨膜结构域 主要亲水区 s
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三维各向异性TI介质中的P/S波快速解耦技术及在弹性波逆时偏移中的应用
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作者 张辉 尹国庆 +8 位作者 徐珂 王志民 王海应 梁景瑞 来姝君 左佳卉 鲜成钢 申颍浩 赵杨 《地球物理学报》 SCIE EI CAS CSCD 北大核心 2024年第2期670-683,共14页
随着多分量采集技术的发展,弹性波逆时偏移技术在三维各向异性介质复杂地质构造成像中得到了广泛的应用.然而耦合的P波场和S波场,会在传播过程中产生串扰噪声,降低弹性波逆时偏移的成像精度.为了解决这一问题,本研究针对具有倾斜各向异... 随着多分量采集技术的发展,弹性波逆时偏移技术在三维各向异性介质复杂地质构造成像中得到了广泛的应用.然而耦合的P波场和S波场,会在传播过程中产生串扰噪声,降低弹性波逆时偏移的成像精度.为了解决这一问题,本研究针对具有倾斜各向异性对称轴的三维横向各向同性(Transverse Isotropy,TI)介质,提出了一种矢量弹性波场快速解耦方法,可以有效提高偏移剖面的成像质量.该方法首先通过坐标转换,将观测系统坐标系的垂直轴旋转到TI介质的对称轴方向,在新坐标系下,根据具有垂直对称轴的三维横向各向同性(Vertical Transverse Isotropy,VTI)介质中的分解算子,推导出三维TI介质解耦算子表达式.接着引入一种在空间域快速计算分解波场的方法,来实现空间域矢量P波场和S波场分离,极大地提高了计算效率.最后,通过点积成像条件,将提出的P/S波分解方法引入到三维TI介质弹性波逆时偏移中,得到高精度的PP和PS成像.与以往的波场分解方法相比,本文方法具有数值稳定和计算效率高的特点.数值算例表明,应用上述三维TI分解算子得到的偏移剖面有效压制了噪声,提高了成像质量. 展开更多
关键词 三维各向异性介质 弹性波逆时偏移 矢量P/s波场分解 多分量地震数据
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基于多目标遗传算法的8×8 S盒的优化设计方法
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作者 王永 王明月 龚建 《西南交通大学学报》 EI CSCD 北大核心 2024年第3期519-527,538,共10页
混沌系统具有非线性、伪随机性、初始值敏感等特性,为基于动力系统构造性能良好的S盒提供了基础,进一步保证了分组加密算法安全性.目前,基于混沌构造S盒的方法大多数针对单个性能指标进行优化,难以获得全面的性能提升.针对此问题,结合... 混沌系统具有非线性、伪随机性、初始值敏感等特性,为基于动力系统构造性能良好的S盒提供了基础,进一步保证了分组加密算法安全性.目前,基于混沌构造S盒的方法大多数针对单个性能指标进行优化,难以获得全面的性能提升.针对此问题,结合混沌映射与多目标遗传算法,提出了一种新的S盒设计方法.首先,利用混沌映射的特性产生初始S盒种群;然后,以S盒的非线性度和差分均匀性为优化目标,基于遗传算法框架对上述两指标进行优化.针对S盒的特点,在优化算法中引入了交换操作,设计了新的变异操作以及非支配序集计算,有效提升了S盒的非线性度和差分均匀性.实验结果表明该算法产生的S盒其差分均匀度为6,非线性度值至少为110,有效提升了S盒的综合性能. 展开更多
关键词 s 非线性度 差分均匀度 多目标遗传算法 混沌映射
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