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

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29例,其中神经源性ED患者23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ED4例;阴茎海绵体纤维化ED1例;Klinefeters综合征ED1例。结果29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28／29。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。

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

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.