摘要
目的：探讨联合应用尿道内切开与阴茎假体植入术治疗骨盆骨折后尿道狭窄并勃起功能障碍的临床安全性。方法：3例患者腰麻下行尿道内切开与阴茎假体植入术，术后定期尿道扩张。结果：术后随访1～2年，患者均排尿通畅，性生活满意，3例患者术前最大尿流率分别为4、8ml／s、7．6ml／s、9、6ml／s，术后最大尿流率分别为24．3ml／s、26．6ml／s、25．2ml／s结论：联合应用尿道内切开与阴茎假体植入术治疗骨盆骨折后尿道狭窄并发勃起功能障碍近期效果满意，远期疗效有待进一步观察。
Objective：To evaluate the safety and efficacy of one stage penile prosthesis implantation（PPI） with visual urethrotomy in patients suffered from severe urethral stricture with ED secondary to pelvic fracture. Methotis：Three cases of patients with severe ED and urethral stricture secondary to pelvic fracture were included in this study. The urethral stricture was confirmed by cystogram and cystoscopy and the neurogenic and or vascular ED were confirmed by CDDU, NPT and SSEP evaluation. All patients were performed AMS 700CXM PPI with visual urethrotomy, followed by regular dilation. Uroflowmetry has been performed in the 1- 2 years follow up. Results..All patients were successfully implanted three piece AMX 700 CXM prosthesis with visual urethrotomy in one stage, without infection, Three patients satisfied to their sexual activity. The maximum rate of urine flow in the 3 patients were 24.3 ml/s,26.6 ml/s ,25, 2 ml/s respectively, Conclusions：Successful outcomes were achieved in all 3 patients implanted three piece AMX 700 CXM after visual urethrotomy.
出处
《临床泌尿外科杂志》
2007年第11期805-807,共3页
Journal of Clinical Urology
关键词
阴茎假体
尿道内切开
骨盆骨折
Internal urethrotomy
Penis prosthesis implantation
Pelvic fracture
