修复阴茎假体诱导的即将发生的侵蚀使用异种移植在同时充气阴茎假体更换期间
Joshua S Jue1, Jean-Francois Eid1
1Department of Urology, Lenox Hill Hospital, Northwell Health, Zucker School of Medicine at Hofstra/Northwell, New York, NY 10075, United States.
The journal of sexual medicine
|February 7, 2024
概括
阴茎假体 (PP) 过大可能导致侵蚀. 用充气阴茎假体 (IPP) 替换的异体移植修复是一种安全有效的治疗即将发生的侵蚀,复发率低.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术创新 在外科创新.
- 生物材料在医学中的应用
背景情况:
- 阴茎假肢 (PP) 引起的即将发生的侵蚀是一种罕见但严重的并发症.
- 这种并发症的确切原因和最佳管理策略仍然不清楚.
研究的目的:
- 评估假肢尺寸在PP引起的即将发生的侵蚀中的作用.
- 评估异种移植风修复在充气阴茎假肢 (IPP) 置换期间即将发生的侵蚀的安全性和有效性.
主要方法:
- 对24名接受异种移植修复并同时进行IPP替换的患者 (2012-2022) 的回顾性审查.
- 阴茎假体气尺寸,后端延长器尺寸和计算的PP长度之间的比较之前的PP和异种移植增强的IPP.
- 对并发症率和随访数据的分析,包括随后的解释和复发.
主要成果:
- 以前的阴茎假肢比身体长度长得多,这表明过大.
- 在异种移植增强的IPP和植入后的身体长度之间没有发现长度的显著差异.
- 观察到低感染率 (4.2%) 和扩散率;只有一个病例 (4.2%) 在 56 个月的中位数后再次出现即将发生的侵蚀.
结论:
- 阴茎假肢过大可能导致即将发生侵蚀的风险.
- 在IPP同时更换期间修复Xenograft风是一种安全有效的治疗即将发生的侵蚀,复发风险低.
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