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首页> 外文期刊>The journal of sexual medicine >Transglanular Repair of Impending Penile Prosthetic Cylinder Extrusion
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Transglanular Repair of Impending Penile Prosthetic Cylinder Extrusion

机译：即将发生的阴茎假体圆柱体挤压的经颅修复

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Introduction. Penile prosthetic devices are highly satisfactory in the management of erectile dysfunction but carry a number of risks including the potential for erosion. In some cases, impending extrusion can be identified and managed before frank erosion occurs. Aims. To report our results using a transglanular approach for management of impending distal erosion of penile prosthetic devices. Methods. Patients who presented with impending erosion of penile prosthetics were identified by retrospective chart review. Patients who were managed with a transglanular surgical approach constitute the study group. Main Outcome Measures. Clinical data were culled from the charts. Identified patients were contacted and were asked a battery of questions regarding their subjective assessment of the treatment's efficacy. Results. Six men were identified. Mean age at time of surgery was 56 years. Four men had had implants placed within the past 2 years and two had implants that had been in place for greater than 12 years. Mean operative time was 25 minutes. Four patients were successfully managed with a single repair procedure. Two men required repeat revision surgery. Of men that were available for additional postoperative contact, three of four reported satisfaction with the procedure. Conclusions. The transglanular approach for repair of impending distal erosion of penile prosthetics is a quick and minimally morbid procedure that produces satisfactory results in the majority of patients. Further refinements of technique will likely lead to greater overall improvement in outcomes.
机译：介绍。阴茎假体装置在勃起功能障碍的治疗方面非常令人满意，但存在许多风险，包括潜在的侵蚀。在某些情况下，可以在坦率腐蚀发生之前识别和管理即将发生的挤压。目的为了报告我们的结果，采用经颅方法治疗即将发生的阴茎假体远端侵蚀。方法。通过回顾性图表审查鉴定出即将发生阴茎假体侵蚀的患者。经经颅手术治疗的患者组成研究组。主要观察指标。从图表中剔除临床数据。联系了确定的患者，并询问了一系列有关他们对治疗效果的主观评估的问题。结果。确定了六名男子。手术时的平均年龄为56岁。在过去的两年中，有四名男子植入了植入物，而在过去的12年中，有两名男子已经植入了植入物。平均手术时间为25分钟。一次修复手术成功治疗了四名患者。两名男子需要重复翻修手术。在可以进行额外术后接触的男性中，四分之三表示对手术满意。结论。经颅穿刺修复即将来临的阴茎假体远端糜烂是一种快速且病态最小的方法，在大多数患者中均能产生令人满意的结果。技术的进一步改进可能会导致结果的总体改善。

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