Intraoperative electrostimulation of the cavernous nerve: technique, results and limitations.

Intraoperative electrostimulation of the cavernous nerve: technique, results and limitations.
复制标题

海绵体神经的术中电刺激:技术、结果和局限性。

DOI:
10.1016/s0022-5347(01)66882-4
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发表时间:
1995
期刊:
The Journal of urology
影响因子:
--
通讯作者:
Tanagho,EA
Tanagho,EA
中科院分区:
--
文献类型:
--
作者:
Lue,TF;Gleason,CA;Brock,GB;Carroll,PR;Tanagho,EA

文献摘要

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目的探讨术中刺激阴茎海绵体神经诱发阴茎勃起的可行性材料与方法对16例行耻骨后根治性前列腺切除术和6例行阴茎静脉瘘手术的患者,在前列腺尖部两侧进行电刺激(阴茎切除组)或阴茎门(静脉手术组)结果16例阴茎海绵体切除术患者中有8例出现明显勃起,6例静脉手术患者中有5例出现海绵体内压升高。术中阴茎勃起是可行的。然而,这项技术必须进一步完善,以临床上有用的,即本地化的神经血管束在男性接受椎间盘切除术。
PurposeWe studied the feasibility of inducing penile erection intraoperatively by stimulation of the cavernous nerves.Materials and MethodsIn 16 men undergoing retropubic radical prostatectomy and 6 undergoing penile surgery for venous leakage electrostimulation was applied to both sides of the prostatic apex (prostatectomy group) or the hilum of the penis (venous surgery group).ResultsElectrostimulation produced visible erection in 8 of the 16 prostatectomy patients and an increase in intracavernous pressure in 5 of the 6 venous surgery patients.ConclusionsElectrostimulation of the cavernous nerves intraoperatively to produce penile erection is feasible. However, the technique must be further refined to be clinically useful, that is to localize the neurovascular bundle in men undergoing prostatectomy.