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首页> 外文期刊>The journal of sexual medicine >Traction therapy for men with shortened penis prior to penile prosthesis implantation: a pilot study.
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Traction therapy for men with shortened penis prior to penile prosthesis implantation: a pilot study.

机译：阴茎假体植入前阴茎短的男性的牵引治疗：一项初步研究。

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INTRODUCTION: Loss of penile length after penile prosthesis implantation is one of the most common complaints. There is no recognized reliable technique to gain length once the device is placed. AIMS: This noncontrolled pilot study was designed to evaluate the efficacy and safety of external penile traction therapy in men with a shortened penis used before inflatable prosthesis implantation. METHODS: Ten men with drug refractory erectile dysfunction and a complaint of a shorter penis as a result of radical prostatectomy in four, prior prosthesis explantation in four, and Peyronie's disease in two were entered into this trial. External penile traction was applied for 2-4 hours daily for 2-4 months prior to prosthesis surgery. MAIN OUTCOME MEASURES: Baseline stretched penile length (SPL) was compared with post-traction SPL and postimplant inflated erect length. A non-validated questionnaire assessed patient satisfaction. RESULTS: All men completed the protocol. Daily average device use was 2-4 hours and for up to 4 months. No man had measured or perceived length loss after inflatable penile prosthesis placement. Seventy percent had measured erect length gain compared with baseline pre-traction SPL up to 1.5 cm. There were no adverse events. CONCLUSION: External traction therapy appears to result in a preservation of penile length, as no man had measured or perceived length loss following prosthesis placement, but in fact, a small length gain was noted in 70% of the subjects with no adverse events. The protocol is tedious and requires compliance to be effective. External traction therapy prior to inflatable penile prosthesis placement appears to preserve and possibly result in increased post-prosthesis implant erect length.
机译：简介：阴茎假体植入后阴茎长度的损失是最常见的主诉之一。放置设备后，没有公认的可靠技术来增加长度。目的：这项非对照的初步研究旨在评估在充气假体植入前使用阴茎短的男性的外部阴茎牵引疗法的疗效和安全性。方法：十名男性患有药物难治性勃起功能障碍，其中四名因前列腺癌根治术而导致阴茎较短，四名假肢植入，两人有佩罗尼氏病。在进行假体手术之前，每天进行2-4个小时的外部阴茎牵引2-4个月。主要观察指标：比较基线拉伸阴茎长度（SPL）与牵引后SPL和植入后膨胀直立长度。一项未经验证的问卷评估了患者的满意度。结果：所有男性均完成了方案。每天平均设备使用时间为2-4小时，长达4个月。没有人测量或感觉到充气阴茎假体放置后的长度损失。与不超过1.5 cm的基线牵引前SPL相比，有70％的人测量了直立长度。没有不良事件。结论：外部牵引疗法似乎可以保持阴茎长度，因为没有人测量或察觉到假体放置后长度减少，但实际上，在70％的受试者中发现很小的长度增加，没有不良事件。该协议很繁琐，需要遵守才能有效。在可膨胀的阴茎假体放置之前，外部牵引疗法似乎可以保留并可能导致假体植入后的勃起长度增加。

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