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早期 vs 延迟插入阴茎假体在耐火性priapism的患者:一个系统的审查和元分析

Mohamed Elmarasi¹, Ahmad Alsaeedi², Ibrahim Elmakaty¹

¹College of Medicine, Qatar University, Doha, 2713, Qatar.

Sexual medicine reviews

|March 11, 2024

概括

早期阴茎假体 (PP) 植入30天内用于耐火性priapism诱导的勃起功能障碍 (ED) 是受欢迎的. 与延迟手术相比,早期手术减少了并发症,并提高了患者的满意度.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
安德罗学与人类学
外科手术的结果

背景情况:

耐火性priapism可以引起勃起功能障碍 (ED) 由于阴茎纤维化.
阴茎假体 (PP) 手术通常需要用于恢复性功能.
在 priapism 后 PP 植入的最佳时间尚不清楚.

研究的目的:

为了比较早期与延迟的PP植入的临床结果,在因priapism引起的ED中.
根据植入时间来评估并发症率和患者满意度.

主要方法:

对9项涉及278名患者的研究 (4个队列,5个病例系列) 的系统审查和元分析.
使用偏差风险和纽卡斯尔-太华尺度评估研究偏差.
使用固定效应模型计算聚合赔率比率 (ORs).

主要成果:

延迟PP植入与明显更高的整体并发症相关 (OR,4.16).
在延迟治疗组中观察到明显的阴茎纤维化 (OR, 118.18).
早期的PP植入显示出更高的患者满意度 (OR,0.15).

结论:

建议在缺血性priapism引起的ED时,提前 (30天内) 进行PP植入.
患者的偏好和心理因素应该指导最终的决定.

关键词:

这是勃起功能障碍.这是一个元分析.阴茎假体是一种阴茎假体.偏爱症是什么? 偏爱症是什么手术时间手术时间系统性审查系统性审查

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