【摘要】 目的　探讨用自体大隐静脉或ePTFE人工血管增粗阴茎海绵体术式的可行性。方法　应用自体大隐静脉移植或ePTFE人工血管置入切开分离的双侧阴茎海绵体白膜 ,扩大阴茎海绵体周径及其体积。结果　用上述两种方法完成阴茎增粗并延长术 17例患者 ,随访 12～ 2 4个月 ,阴茎外形、勃起功能及性生活均满意。结论　所用的两种手术方法使阴茎增粗效果显著 ,尤以勃起时更为明显 ,是动态功能性阴茎增大的良法。其远期疗效和并发症尚有待进一步观察更多还原

【Abstract】 Objective To investigate the effect of augmentation of penile cavernous corpora by implanting autogenous saphenous grafts or ePTFE vessel patches. Methods Thirteen cases were underwent operations in which bilateral longitudinal incisions were placed on the tunica albuginea and the penile cavernous corpora were extended by means of implanting saphenous grafts or ePTFE artificial vessel patches. Results All cases obtained satisfactory surgical results without serious complications such as infection and fistula. Of 17 operated cases, 14 married cases restored regular and satisfactory sexual activities one month after operation without any functional limitation. The penile corpus circumferential measurements after operation immediately and at the 24 month follow-up showed increase of 1～2?cm. Conclusion These two kinds of procedures for augmenting penile cavernous corpora were proved to be effective and reliable with few complications. Both saphenous grafts and ePTFE artificial vessel patches were excellent materials for reconstructing tunica albuginea. But the long-term outcomes of these surgical procedures need further follow-up survey.更多还原