阴茎假体在priapism:结果和并发症的系统审查
David A Velasquez1, Paulo Vitor Barreto Guimaraes2, Hernan Lescay2
1Pritzker School of Medicine, The University of Chicago, Chicago, IL, USA.
Translational andrology and urology
|May 9, 2024
概括
阴茎假体 (PP) 植入提供了高的患者满意度的 priapism管理,成功率高达100%. 然而,低质量的证据需要进一步研究长期结果和并发症.
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:
- 阳性勃起是一种长时间勃起,导致显著的发病率,包括勃起功能障碍和阴茎纤维化.
- 手术治疗priapism带来了相当大的挑战.
- 阴茎假体 (PP) 植入被探索作为一种治疗选择.
研究的目的:
- 评估阴茎假体 (PP) 植入在治疗青症中的作用和有效性.
- 审查长期并发症,结果和患者满意度与PP植入用于priapism相关.
主要方法:
- 在PubMed,Embase和Scopus进行了系统的文献搜索.
- 审查中包括了2002年至2022年间发表的17项研究.
- 研究集中在PP的有效性,并发症和患者满意度在priapism病例.
主要成果:
- 大多数患者接受了可塑性阴茎假肢 (MPP),早期安置 (EP) 定义变化.
- 报告的患者满意度高 (80-100%) 和性交成就 (64.2-100%).
- 包括的研究被评为非常低质量的证据,常见的并发症包括感染,侵蚀和机械故障.
结论:
- PP植入可以有效治疗缺血性或耐火性复发性priapism.
- 证据质量非常低,这凸显了需要进行更大,更精心设计的研究的需要.
- 进一步的研究应侧重于长期结果,患者满意度和并发症.
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