在皮罗尼病中复杂曲的外科治疗
Ateş Kadıoğlu1,2, Mehmet Gürcan3, Abdurakhmonov Farkod Rakhmonovich4
1Faculty of Medicine, Section of Andrology, Department of Urology, Istanbul University, Millet Cad. Istanbul Tıp Fakültesi, Cerrahi Monoblok, Kat:1, Fatih, 34104, Istanbul, Turkey. drkadiogluates@gmail.com.
World journal of urology
|April 30, 2024
概括
复杂的皮罗尼病 (PD) 的手术技术各不相同. 在严重的勃起功能障碍 (ED) 病例中,阴茎假肢植入通常是首选的,而延长手术适合没有ED的复杂曲线.
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
- 手术创新 在外科创新.
背景情况:
- 皮罗尼氏病 (PD) 影响大约10%的复杂形患者.
- 复杂的PD涉及严重的曲率 (>60度),腹部斑块,多平面曲率,时钟/甲形,划痕和骨化斑块.
- 复杂的PD的管理可能需要手术技术的组合.
研究的目的:
- 审查和分析用于管理复杂的皮罗尼病的外科手术技术.
- 专注于在患有阴茎复杂形的患者中不同手术方法的疗效.
主要方法:
- 在MEDLINE和PubMed上进行了系统的文献搜索.
- 包括了1990年至2023年间发表的研究,重点是复杂的PD曲线的外科治疗.
主要成果:
- 缩短手术不建议复杂的病例,如由于阴茎缩短而造成的划痕或骨化斑块.
- 延长手术对于没有勃起功能障碍 (ED) 的复杂曲线是有效的.
- 阴茎假肢植入 (IPP) 是患有ED的PD的黄金标准,阴茎不稳定,在复杂的情况下显示出高满意度.
结论:
- 复杂的PD的外科治疗需要仔细的患者选择和技术.
- 尽量减少并发症和最大限度地提高结果取决于细致的手术执行和术后护理.
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