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首页> 外文期刊>World journal of urology >Penile prosthesis implantation for the treatment for male erectile dysfunction: Clinical outcomes and lessons learnt after 955 procedures
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Penile prosthesis implantation for the treatment for male erectile dysfunction: Clinical outcomes and lessons learnt after 955 procedures

机译：阴茎假体植入术治疗男性勃起功能障碍：955例手术后的临床结果和经验教训

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Purpose: To evaluate the clinical outcomes of penile prosthesis implantation for the treatment for erectile dysfunction (ED) over 3 decades in a centre of excellence. Methods: A total of 955 penile prostheses were implanted between June 1981 and June 2010. The mean age of the men was 53.2 (28-80) years, and the mean follow-up was 76 (12-355) months. A total of 771 men had primary implants. The most common implant was Ultrex cylinder (54 %), and the main cause of ED was organic (32 %). Results: Primary implants showed higher rate of intra-operative complications than revision surgery (3.5 vs. 0.1 %) (p < 0.05). Prosthesis infection occurred in 0.8 % and equal incidence between diabetic and pelvic trauma patients. The average time to prosthetic revision was 102 (30-210) months. Kaplan-Meier estimates of overall penile prosthesis survival at 5 and 10 years were around 90.8 and 85.0 %. The most common mechanical failures were fluid loss (75 %). The majority of men were satisfied with the surgical outcomes, and 90 % of men would undergo penile prosthesis implant again. Conclusions: Penile prosthesis surgery is a safe and durable treatment option for male ED. Strict adherence to antimicrobial prophylaxis and surgical practice is paramount to ensure low complication rates and high patient satisfaction rate.
机译：目的：在卓越中心评估在过去3年中阴茎假体植入治疗勃起功能障碍（ED）的临床效果。方法：1981年6月至2010年6月，共植入955个阴茎假体。男性平均年龄为53.2（28-80）岁，平均随访时间为76（12-355）个月。共有771名男性进行了一次初次植入。最常见的植入物是Ultrex圆柱体（占54％），ED的主要原因是有机物（占32％）。结果：与植入手术相比，原发植入物的术中并发症发生率更高（3.5比0.1％）（p <0.05）。假肢感染的发生率为0.8％，在糖尿病和骨盆创伤患者中发生率相等。修复假体的平均时间为102（30-210）个月。 Kaplan-Meier对5年和10年阴茎假体总体存活率的估计约为90.8％和85.0％。最常见的机械故障是流体损失（75％）。大多数男人对手术效果感到满意，并且90％的男人会再次进行阴茎假体植入。结论：阴茎假体手术是男性ED的一种安全，持久的治疗选择。严格遵守抗菌药物的预防措施和手术方法对于确保低并发症发生率和高患者满意度至关重要。

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