Modern treatment strategies for penile prosthetics in Peyronie’s disease:a contemporary clinical review  

作　　者：Matthew J Ziegelmann M Ryan Farrell Laurence A Levine 

机构地区：[1]Division of Urology,Rush University Medical Center,Chicago,IL 60612,USA

出　　处：《Asian Journal of Andrology》2020年第1期51-59,共9页亚洲男性学杂志（英文版）

摘　　要：Peyronie's disease is a common condition resulting in penile deformity,psychological bother,and sexual dysfunction.Erectile dysfunction is one common comorbid condition seen in men with Peyronie’s disease,and its presence significantly impacts treatment considerations.In a man with Peyronie's disease and significant erectile dysfunction who desires the most reliable treatment,penile prosthesis placement should be strongly considered.In some instances,such as those patients with relatively mild curvature,prosthesis placement alone may result in adequate straightening.However,many patients will require additional straightening maneuvers such as manual modeling,penile plication,and tunica albuginea incision with or without grafting.For patients with severe penile shortening,penile length restoration techniques may also be considered.Herein,we provide a comprehensive clinical review of penile prosthesis placement in men with Peyronie's disease.Specifically,we discuss preoperative indications,intraoperative considerations,adjunctive straightening maneuvers,and postoperative outcomes.

关 键 词：COLLAGENASE GRAFTING PENILE length PENILE PROSTHESIS Peyronie's 

分 类 号：R697.1[医药卫生—泌尿科学]