Background: Peyronie’s disease is characterized by fibrous plaque formation in the tunica albuginea, leading to penile curvature and sexual dysfunction. Surgical correction is often required in cases of severe deform...Background: Peyronie’s disease is characterized by fibrous plaque formation in the tunica albuginea, leading to penile curvature and sexual dysfunction. Surgical correction is often required in cases of severe deformity or significant functional impairment. Aim: To present the case of a patient with severe Peyronie’s disease who underwent surgical correction using an autologous fascia lata graft. Case Presentation: We report the case of a 77-year-old Black-African gentleman with Peyronie’s disease, presenting with a self-reported penile curvature of 70 degrees and significant sexual frustration. He was managed surgically with plaque excision followed by a tunica albuginea patch using a subcutaneously harvested autologous fascia lata graft, all performed in a single surgical session. Conclusion: This case highlights the importance of individualized surgical planning and patient-specific considerations in achieving optimal outcomes in the management of Peyronie’s disease, particularly in cases requiring grafting for severe curvature.展开更多
致密砂岩气藏孔隙度、渗透率较低,微观孔喉尺度细小,在生产及压裂过程中极易产生水锁伤害。为开展致密储层防水锁作用机理研究,将常规岩心自吸实验、防水锁剂抑制水锁伤害实验与低场核磁共振技术(nuclear magnetic resonance,NMR)相结合...致密砂岩气藏孔隙度、渗透率较低,微观孔喉尺度细小,在生产及压裂过程中极易产生水锁伤害。为开展致密储层防水锁作用机理研究,将常规岩心自吸实验、防水锁剂抑制水锁伤害实验与低场核磁共振技术(nuclear magnetic resonance,NMR)相结合,从微观角度揭示致密砂岩储层微纳米级孔喉中的防水锁作用机理,为致密砂岩气藏防水锁相关研究提供理论依据。结果表明:加入防水锁添加剂后,流体表面张力下降,接触角增大,自吸速率变慢,渗透率有一定程度恢复;在此基础上,通过核磁共振T 2谱从微观角度评价缓慢自吸阶段液体在不同孔喉尺度范围内的液相水锁滞留现象,其中加入防水锁添加剂后在自吸20 h时在较小孔喉处自吸液相平均占比为38.61%,整体孔喉平均液相占比为35.79%。而在未加入防水锁试剂的样品中在自吸20 h时在较小孔喉处液相占比为67.48%,整体孔喉占比为54.52%;通过防水锁剂抑制水锁伤害实验得出,加入防水锁剂后渗透率恢复程度在15.38%~20.19%,整体液相滞留占比平均下降幅度在10.73%。防水锁剂有效地降低较小孔候处液相滞留占比,降低流体表面张力以及增大岩心疏水性能,揭示了致密砂岩气藏防水锁作用机理,为致密砂岩气藏降低水锁伤害程度、提高返排效率,为实现高效开发提供理论支撑。展开更多
文摘Background: Peyronie’s disease is characterized by fibrous plaque formation in the tunica albuginea, leading to penile curvature and sexual dysfunction. Surgical correction is often required in cases of severe deformity or significant functional impairment. Aim: To present the case of a patient with severe Peyronie’s disease who underwent surgical correction using an autologous fascia lata graft. Case Presentation: We report the case of a 77-year-old Black-African gentleman with Peyronie’s disease, presenting with a self-reported penile curvature of 70 degrees and significant sexual frustration. He was managed surgically with plaque excision followed by a tunica albuginea patch using a subcutaneously harvested autologous fascia lata graft, all performed in a single surgical session. Conclusion: This case highlights the importance of individualized surgical planning and patient-specific considerations in achieving optimal outcomes in the management of Peyronie’s disease, particularly in cases requiring grafting for severe curvature.
