■硅胶套筒阴茎植入物的日益普及伴随着对潜在风险和不良事件的担忧。
■提供关于在大批量植入物外科医生中接受硅胶套筒阴茎植入物手术的患者的安全性结果的多机构数据。此外,我们将讨论减少术后并发症的预防技术和这些事件的处理.
■我们对2020年11月至2022年11月期间与四名外科医生一起接受阴茎硅胶套植入物的男性进行了回顾性分析,每个人都来自一个单独的机构。围手术期和术后不良事件,包括不令人满意的需要修订的美容结果,由医生随访确定。术前和术后测量松弛的阴茎长度和周长。
■共有299名男性患者接受了硅胶套植入手术,平均年龄为42.5±10.5岁,平均体重指数为28.5±4.0。患者队列表现出最小的合并症,5%患有高脂血症,2%是吸烟者,2%患有心血管疾病,1%患有糖尿病。患者的松弛阴茎长度平均增加4.1±1.5cm(增加50%),松弛周长平均增加3.4±1.5cm(增加37%)(p<0.01)。并发症发生率包括新发术后勃起功能障碍(0%),感染(1.3%),血清肿(2.0%),和侵蚀(5.0%)。平均随访时间为11.6个月。值得注意的是,我们的感染率和血清肿率低于先前单中心审查报告的水平,而侵蚀率较高。
■这是表征阴茎硅胶套管植入物跨多个机构安全性的最大研究。在想要增加化妆品尺寸的男人中,硅胶套植入手术与松弛阴茎长度和周长显着增加有关。并发症主要是美容,可以纠正;然而,患者应该得到适当的咨询关于侵蚀的风险,这似乎比以前报道的要高。
阴茎硅胶套手术的结果这是一项最大的研究,旨在表征阴茎硅胶套植入物在多个机构中的安全性。在想要改善阴茎尺寸的男性中,硅胶套植入手术与松弛阴茎长度和周长显著增加有关。并发症主要是美容,可以纠正,然而,患者应该得到适当的咨询关于侵蚀的风险,这似乎比以前报道的要高。
UNASSIGNED: The increasing popularity of the silicone sleeve penile implant has been accompanied by concerns over potential risks and adverse events.
UNASSIGNED: To provide multi-institutional data on safety outcomes in patients undergoing silicone sleeve penile implant surgery across high-volume implant surgeons. In addition, we discuss preventative techniques to minimize postoperative complications and the management of these events.
UNASSIGNED: We performed a retrospective analysis of men undergoing penile silicone sleeve implants between November 2020 and November 2022 with four surgeons, each from a separate institution. Perioperative and postoperative adverse events, including unsatisfactory cosmetic outcomes requiring revision, were determined by physician follow-up. Flaccid penile length and girth were measured preoperatively and postoperatively.
UNASSIGNED: A total of 299 male patients underwent silicone sleeve implant surgery, with an average age of 42.5 ± 10.5 years and an average body mass index of 28.5 ± 4.0. The patient cohort exhibited minimal comorbidities, with 5% having hyperlipidemia, 2% being smokers, 2% having cardiovascular disease, and 1% having diabetes. Patients experienced an average increase of 4.1 ± 1.5 cm in their flaccid penile length (a 50% increase) and an average increase of 3.4 ± 1.5 cm in their flaccid girth (a 37% increase) (p < 0.01). Complication rates included new-onset postoperative erectile dysfunction (0%), infection (1.3%), seroma (2.0%), and erosion (5.0%). The average follow-up time was 11.6 months. Notably, our rates of infection and seroma were lower than those reported in a previous single-center review, while erosion rates were higher.
UNASSIGNED: This is the largest study to characterize the safety of the penile silicone sleeve implant across multiple institutions. In men who desire cosmetic size augmentation, silicone sleeve implant surgery is associated with significantly increased flaccid penile length and girth. Complications are mainly cosmetic and may be corrected; however, patients should be appropriately counseled on the risk of erosion, which appears to be higher than previously reported.
Outcomes for penile silicone sleeve surgery This is the largest study to characterize the safety of the penile silicone sleeve implant across multiple institutions. In men who desire cosmetic penile size improvement, the silicone sleeve implant surgery is associated with significantly increased flaccid penile length and girth. Complications are mainly cosmetic and may be corrected, however, patients should be appropriately counseled on the risk of erosion, which appears to be higher than previously reported.