国产三件套可膨胀型阴茎假体植入术治疗截瘫病人勃起功能障碍

目的 :评价国产三件套可膨胀型阴茎假体 (IPP)对截瘫勃起功能障碍 (ED)病人康复治疗的临床应用效果。方法 :阴茎阴囊交界处切口植入国产三件套IPP ,治疗非手术疗法无效的截瘫ED病人 1 8例 ,以咨询或信访方式取得维持性交率及女方性交满意率。　结果 :1 8例截瘫ED病人手术均获成功 ,术后随访 3～ 36个月 ,平均 1 8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 1 7/ 1 8。 3例出现射精反射。　结论 :国产三件套IPP治疗非手术疗法无效的截瘫ED病人 ,隐匿性好 ,康复效果确切 ,且价格低、机械故障率不高于国外产品 ,易被国内病人所接受

Treatment of the Paraplegic Patient with Erectile Dysfunction by Implantation of China-made Three-piece Inflatable Penile Prosthesis

Objective: To evaluate the effect of the treatment on paraplegic patients with erectile dysfunction (ED) by implantation of China made three piece inflatable penile prosthesis. Methods: Eighteen paraplegic patients with ED refractory to non operative treatment were implanted with three piece inflatable penile prosthesis through an incision at the border of penis and scrotum. The rate of maintained coitus and the satisfactory coitus of spouse were obtained by inquiring and letter visiting. Results: Operations were successfully performed upon all 18 patients. Follow ups after operations ranged from 3 months to 36 months, mean follow up being 18 months. Fluid exudation from penile prosthesis and localized infection occurred in one patient and mechanic complication occurred in two. Maintained coitus rate was 17/18. Ejaculation reflection occurred in three patients. Conclusions: Treatment of paraplegic patient with ED refractory to non operative treatment by implantation of China made three piece inflatable penile prosthesis has good concealment and rehabilitative effect, with similar mechanical troubles to imported products. With excellent covertness, implantation of three piece inflatable penile prosthesis is well accepted by ED patients.