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首页> 外国专利> METHOD OF SURGICAL TREATMENT OF ERECTILE DYSFUNCTION IN PATIENTS AFTER RADICAL PROSTATECTOMY

METHOD OF SURGICAL TREATMENT OF ERECTILE DYSFUNCTION IN PATIENTS AFTER RADICAL PROSTATECTOMY

机译：自由基前列腺切除术患者勃起功能障碍的外科治疗方法

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FIELD: medicine.;SUBSTANCE: invention refers to medicine, namely to urology. Two-sided selection of n.suralis and bilateral incision within n.femoralis and inguinal ligament are performed, as well as a double-sided incision in the region near the base of the penis. An epineural window is then formed by means of a microscope, in which a perineural opening is formed and through the formed epineural and perineural opening on the lateral surface of the main stem of n.femoralis selective axonotomy of neural bundles occurring in n.femoralis is performed. Further, the proximal end of the separated n.suralis with n.femoralis is connected by an anastomosis of the side-to-end type, using a non-absorbable suture material, then the distal end of n.suralis is subcutaneously in the incision at the base of the penis, with further formation of anastomosis between n.suralis and cavernous penile body. That is followed by 1 cm incision on the dorsal surface of the base of the penis, after which a distal portion of n.suralis is inserted through the incision by bulging probe into cavernous body in direction of penis head, wherein all above actions, starting with attachment of proximal end of n.suralis to n.femoralis, is repeated from opposite side. After epineural and perineural windows are formed on lateral surface of n.femoralis main stem, selective axonectomy of nerve bundles innervating m.vastus lateralis is additionally performed, with formation of diastasis between intersected proximal and distal neural bundles. Further, the intersected proximal nerve fibers are combined in the n.femoralis composition with the proximal nerve fibers in the isolated n.suralis by endoneuroal-perineal nodular sutures. For endoneuroal-perineural nodal sutures, a non-absorbable sutures material of prolen with size of 11-0 - 12-0 and supermicroosurgical instruments, after said stages additional microsurgical fixation of n.femoralis with n.suralis is performed with the help of second line of epineurial-perineural nodular sutures with suturing 8-0 - 9-0, wherein all the above steps are performed under an operating microscope. After n.suralis introduction with the help of bulbous probe into cavernous bodies, additional microsurgical fixation of n.suralis epineural cover is performed with albino cavernosa of cavernous bodies with the help of interrupted sutures 8-0 is sutured with filament, besides, all above mentioned actions, starting from moment of n.femoralis extraction, are repeated from the opposite side.;EFFECT: method enables higher efficiency of restoration of innervations of penis corpuscles.;1 cl, 2 ex
机译：田地：药物。物质：发明是指药物，即泌尿外科。在N.Femoralis和Insuinal韧带中进行双面选择N.suralis和双侧切口，以及阴茎底部的区域中的双面切口。然后通过显微镜形成内膜内窗口，其中形成了一个阴孔开口并通过形成在N.femoralis的神经束的N.femoralis选择性支柱的主杆的主杆的侧面上形成的外膜内的开口。表演。此外，使用不可吸收的缝合材料，通过不可吸收的缝合材料，然后在切口中皮下来，通过侧端式吻合术通过侧端型吻合术，然后在切口中皮下来进行侧端式吻合术。在阴茎的基础上，进一步形成N.suralis和海绵状阴茎体之间的吻合。在阴茎碱的底部的背面上之后是1cm切口，之后通过切口将探针朝着阴茎头的方向凸出探针插入N.suralis的远端部分，其中所有上述动作开始通过附着N.Suralis的近端至N.femoralis，重复来自对面的反复。在N.Femoralis主干的侧表面上形成内膜内和麻纹窗后，另外进行，在相交的近端和远端神经束之间形成乳糖的选择性轴突切除术。此外，与腔内Noxtuls缝合线分离的N.Suralis中的近端神经纤维组合在N.Femoralis组合物中组合在N.femoralis组合物中。对于内部渗透性节点缝合线，在具有N.Femoralis的额外显微外科仪器之后，具有11-0-12-0的潜水的不可吸收缝合物材料，伴有N.Femoralis与N.Suralis的额外显微镜固定在第二个具有缝合8-0-9-0的髁内阴性缝合线的线，其中所有上述步骤都在操作显微镜下进行。在N.Suralis借助于球茎探针进入海绵体后，额外的显微外科覆盖N.Suralis封面的含有内膜内膜覆盖的含量，伴随着缝合线8-0的帮助，除了丝状，全部，全部从N.Femoralis提取的时刻开始，从另一侧重复开始。;效果：方法能够更高恢复阴茎核的恢复效率。; 1 cl，2 ex

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