Is cavernous body repair reliable?

Cavernous repair is an effective means of treating organic erectile dysfunction, and its credibility depends on the surgical indications, hospital qualifications and postoperative care. It is mainly suitable for organic problems such as traumatic cavernous injury and Peyronie's disease, and needs to be implemented after evaluation by a professional urologist.

1. Clear indications:

Surgery is only performed for erectile dysfunction caused by organic lesions, such as rupture of the tunica albuginea of ​​the corpus cavernosum and penile curvature caused by Peyronie's disease. Patients with psychogenic erectile dysfunction or vascular causes need to try drug treatment or vacuum negative pressure devices first, as blind surgery may not be effective.

2. Mature surgical methods:

Common surgical procedures include tunica albuginea repair, prosthetic implantation, and atherectomy. Prosthetic implantation is divided into two types: semi-rigid prosthesis and expandable prosthesis. The success rate can reach 85%-90%, but strict disinfection is required to avoid complications such as infection.

3. Key hospital qualifications:

It is necessary to choose a public tertiary hospital with urological surgery qualifications, and the surgeon should have more than 500 penile surgery experience. Be wary of private institutions that exaggerate propaganda. Improper operation may lead to sequelae such as penis shortening and abnormal sensation.

4. Postoperative recovery is important:

The wound needs to be kept clean and dry after surgery, and sexual intercourse is prohibited for 6 weeks. Combined with low-frequency electrical stimulation treatment, nerve repair can be promoted, and ultrasound can be reviewed regularly to assess the blood flow in the cavernous body. About 60% of patients can regain their natural erectile function after 3 months.

5. Evaluation of alternatives:

For mild injuries, try low-intensity shock wave therapy or platelet plasma injections. Oral PDE5 inhibitors such as sildenafil and tadalafil are more effective for vascular erectile dysfunction and require comprehensive treatment combined with behavioral therapy under the guidance of a doctor.

After surgery, it is recommended to increase the intake of nutrients such as zinc and arginine to promote tissue repair. Avoid smoking and drinking, which may affect microcirculation, and perform Kegel exercises to strengthen the pelvic floor muscles. Maintaining a moderate sexual frequency can help prevent cavernous fibrosis, but violent collisions should be avoided. Regularly monitor blood sugar and blood pressure to control damage to vascular function caused by underlying diseases such as diabetes. If persistent pain or wound exudation occurs, timely reexamination should be conducted, and the International Erectile Function Index Questionnaire should be performed every 3 months within 1 year after surgery to evaluate the efficacy.