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タイトル: 膀胱,前立腺全摘術後の器質的インポテンスに対するプロステーシス植え込み手術経験
その他のタイトル: Penile implantation surgery for organic impotence due to radical cystectomy or prostatectomy
著者: 岡田, 裕作  KAKEN_name
郭, 俊逸  KAKEN_name
飛田, 収一  KAKEN_name
西尾, 恭規  KAKEN_name
吉田, 修  KAKEN_name
荒井, 陽一  KAKEN_name
木原, 裕次  KAKEN_name
三品, 輝男  KAKEN_name
著者名の別形: Okada, Yusaku
Kuo, Yih Junne
Hida, Shuichi
Nishio, Yasunori
Yoshida, Osamu
Arai, Yoichi
Kihara, Yuji
Mishina, Teruo
キーワード: Adult
Aged
Erectile Dysfunction/etiology/surgery
Humans
Male
Methods
Middle Aged
Penis/surgery
Postoperative Complications/surgery
Prostatectomy
Prostheses and Implants
Urinary Bladder/surgery
発行日: Oct-1987
出版者: 泌尿器科紀要刊行会
誌名: 泌尿器科紀要
巻: 33
号: 10
開始ページ: 1640
終了ページ: 1646
抄録: Implantation surgery was performed twelve times in eleven patients with organic impotence, mainly due to radical cystectomy and prostatectomy against malignancy, between March, 1982 and April, 1987. A self-contained type prosthesis (AMS Hydroflex(TM] was used in 7 cases, reservoir type inflatable prosthesis (AMS 700TM) in 2, malleable semirigid type (ESKA-Jonas Silicon Silver(TM) Trimming Tip Version) in 2, and nonmalleable semirigid type (Fuji system Finney type) in 1 case. In the last case, the prosthesis was replaced by AMS Hydroflex 4.5 years later at patient's wish. Excellent results and good patients' acceptance were gained with inflatable-type prosthesis (AMS 700 and Hydroflex) in 7 out of 8 cases (88%), whereas concealment problems were produced by semirigid type prosthesis (Finney and Jonas). Experience with AMS Hydroflex penile implantation is reported for the first time in the Japanese literature. Intraoperatively, it was sometimes difficult to implant a pair of Hydroflex rods into both of the corpus cavernosum. Postoperative perineal pain was almost constantly seen and in one patient, penile edema continued for three weeks and subsided spontaneously in two months. In another patient, the length of the prosthesis (15 cm) was short, and exchange to the longer one (17 cm) was necessary. In this patient, the longer Hydroflex caused erosion of the glans to necessitate its removal on one side. From our experience, the diameter (11 mm) of the Hydroflex seems to be too big for the average Japanese patient. The operative procedures and results of each kind of the prostheses are briefly discussed.
URI: http://hdl.handle.net/2433/119303
PubMed ID: 3445849
出現コレクション:Vol.33 No.10

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